Jorzach Inc

Primary specialty

OptometristTaxonomy code 152W00000X

License

2670 Issued in MN

Legal business name

JORZACH INC

Practice address

202 Oconnell St
Marshall, MN 56258

Phone

(507) 532-5777

Fax

(507) 532-2087

NPI assigned

Jul 31, 2006

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Mrs. Renae L Ries, OD

Title

Owner OD

Phone

(507) 532-5777

Specialties & licenses 3

Addresses

Other identifiers 5

Other names 1

• Heartland EyeCare Center Doing business as

Medicare fee-for-service enrollment

Enrolled in MN

Enrollment records 1

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

Medicare medical equipment & supply locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Ashley Morgan Hill, OD

  • Optometrist
  • Slayton, MN
  • NPI 1811554744
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1154304000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1277942400000",
    "number": "1124034475",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "202 OCONNELL ST",
            "address_2": "SUITE 1",
            "city": "MARSHALL",
            "state": "MN",
            "postal_code": "56258",
            "telephone_number": "507-532-5777",
            "fax_number": "507-532-2087"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "202 OCONNELL ST",
            "city": "MARSHALL",
            "state": "MN",
            "postal_code": "56258",
            "telephone_number": "507-532-5777",
            "fax_number": "507-532-2087"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JORZACH INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-31",
        "last_updated": "2010-07-01",
        "status": "A",
        "authorized_official_last_name": "RIES",
        "authorized_official_first_name": "RENAE",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "OWNER OD",
        "authorized_official_telephone_number": "507-532-5777",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "OD"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Optometrist",
            "state": "MN",
            "license": "2670",
            "primary": true
        },
        {
            "code": "152W00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Optometrist",
            "state": "MN",
            "license": "2671",
            "primary": false
        },
        {
            "code": "152W00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Optometrist",
            "state": "MN",
            "license": "3204",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "044722600",
            "state": "MN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS OF MN",
            "identifier": "164J3HE",
            "state": "MN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS BLUE PLUS OF MN",
            "identifier": "164J6HE",
            "state": "MN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HEALTH PARTNERS",
            "identifier": "97208",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UCARE",
            "identifier": "152763",
            "state": "MN"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Heartland EyeCare Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Bartholomew Paul Johnson, D.D.S
• Kasey Marie Johnson, PHARM.D.
• Kelly Jo Johnson, RN
• Paul D Johnson, DDS
• Randall Warren Johnson, DDS
• Erica Anne Jost, ATC
• Richard John Jueneman, CRNA
• Ellison F. Kalda, MD
• Lauren Kaldun, PHRMD, RPH
• Kendra Karl, PT, DPT

• Optometrist in Marshall, MN
• Providers in Marshall, MN by specialty
• Optometrist in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 1, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.