NPIMap

Organization Active NPI

PBR Optometrists LTD of Windom

  • Optometrist
  • Windom, MN
National Provider Identifier
1124153812
Registry record updated Apr 2, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
2062 Issued in MN
Legal business name
PBR OPTOMETRISTS LTD OF WINDOM
Practice address
1006 4TH Ave
Windom, MN 56101-1440
Phone
(507) 831-2429
Fax
(507) 831-4243
NPI assigned
Feb 22, 2007
Last updated
Apr 2, 2008By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 2, 2008

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

Authorized official

Name
Brian D Temme, O.D.NPI 1518901859
Title
Owner
Phone
(507) 831-2429

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
OptometristGroup: 193400000X SINGLE SPECIALTY GROUP 152W00000X 2062 MN Primary

Addresses

Primary practice location

1006 4TH Ave
Windom, MN 56101-1440

Mailing address

1006 4TH Ave
PO Box 160
Windom, MN 56101-1440
Phone (507) 831-2429

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1172102400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1207094400000",
    "number": "1124153812",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1006 4TH AVE",
            "address_2": "PO BOX 160",
            "city": "WINDOM",
            "state": "MN",
            "postal_code": "561011440",
            "telephone_number": "507-831-2429",
            "fax_number": "507-831-4243"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1006 4TH AVE",
            "city": "WINDOM",
            "state": "MN",
            "postal_code": "561011440",
            "telephone_number": "507-831-2429",
            "fax_number": "507-831-4243"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PBR OPTOMETRISTS LTD OF WINDOM",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-22",
        "last_updated": "2008-04-02",
        "status": "A",
        "authorized_official_last_name": "TEMME",
        "authorized_official_first_name": "BRIAN",
        "authorized_official_middle_name": "D",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "507-831-2429",
        "authorized_official_credential": "O.D."
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": "MN",
            "license": "2062",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Windom, MN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 2, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.