Active NPI
Jane E Linville, OD
- Optometrist
- Pierz, MN
National Provider Identifier
1124135736
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- License
- 2278
- Practice address
- 112B Main St S
Pierz, MN 56364-4400 - Phone
- (320) 468-2020
- Fax
- (320) 468-1111
- NPI assigned
- Aug 23, 2006
- Last updated
- Jul 21, 2022
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Optometrist | 152W00000X | 2278 | MN | Primary |
Addresses
Primary practice location
112B Main St S
Pierz, MN 56364-4400
Mailing address
112B Main St S
PO Box 202
Pierz, MN 56364-4400
Phone (320) 468-2020
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 |
|---|---|---|---|
| 2278 | MN | MD | Occupational Health Chiropractor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Kueber Eye Care PLLC | Optometrist | Past | Accepting new patients |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1156291200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1658361600000",
"number": "1124135736",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "112B MAIN ST S",
"address_2": "PO BOX 202",
"city": "PIERZ",
"state": "MN",
"postal_code": "563644400",
"telephone_number": "320-468-2020",
"fax_number": "320-468-1111"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "112B MAIN ST S",
"city": "PIERZ",
"state": "MN",
"postal_code": "563644400",
"telephone_number": "320-468-2020",
"fax_number": "320-468-1111"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LINVILLE",
"first_name": "JANE",
"middle_name": "E",
"credential": "OD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-08-23",
"last_updated": "2022-07-21",
"status": "A"
},
"taxonomies": [
{
"code": "152W00000X",
"taxonomy_group": "",
"desc": "Optometrist",
"state": "MN",
"license": "2278",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Pierz, 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.