Active NPI
Frank Clark Munns, O.D.
- Optometrist
- Duluth, MN
National Provider Identifier
1124023213
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- License
- LD1918000
- Practice address
- 1600 Miller Trunk Hwy
Duluth, MN 55811-5640 - Phone
- (218) 725-0204
- NPI assigned
- Jun 16, 2005
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Optometrist | 152W00000X | LD1918000 | MN | Primary |
| Optometrist | 152W00000X | 1407-035 | WI |
Addresses
Primary practice location
1600 Miller Trunk Hwy
Duluth, MN 55811-5640
Mailing address
6632 Bergstrom Rd
Duluth, MN 55803-9236
Other identifiers 5
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 47521DU | Other | WI | BC/BS CCS CLINIC NUM. |
| 2288846 | Other | MN | MEDICA PROVIDER NUM. |
| 26781MU | Other | MN | BC/BS CCS CLINIC NUM. |
| 37B31MU | Other | WI | BC/BS CCS PROVIDER NUM. |
| IG464MU | Other | MN | BC/BS CCS PROVIDER NUM. |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| LD1918000 | MN | MD | Optometrist |
| 1407-035 | WI | MD | Optometrist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1118880000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1658361600000",
"number": "1124023213",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6632 BERGSTROM RD",
"city": "DULUTH",
"state": "MN",
"postal_code": "558039236"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1600 MILLER TRUNK HWY",
"city": "DULUTH",
"state": "MN",
"postal_code": "558115640",
"telephone_number": "218-725-0204"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MUNNS",
"first_name": "FRANK",
"middle_name": "CLARK",
"name_prefix": "Dr.",
"credential": "O.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2005-06-16",
"last_updated": "2022-07-21",
"status": "A"
},
"taxonomies": [
{
"code": "152W00000X",
"taxonomy_group": "",
"desc": "Optometrist",
"state": "MN",
"license": "LD1918000",
"primary": true
},
{
"code": "152W00000X",
"taxonomy_group": "",
"desc": "Optometrist",
"state": "WI",
"license": "1407-035",
"primary": false
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BC/BS CCS CLINIC NUM.",
"identifier": "47521DU",
"state": "WI"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICA PROVIDER NUM.",
"identifier": "2288846",
"state": "MN"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BC/BS CCS CLINIC NUM.",
"identifier": "26781MU",
"state": "MN"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BC/BS CCS PROVIDER NUM.",
"identifier": "37B31MU",
"state": "WI"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BC/BS CCS PROVIDER NUM.",
"identifier": "IG464MU",
"state": "MN"
}
],
"endpoints": [],
"other_names": []
}Other providers in Duluth, MN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.