DJ-MN Inc

Primary specialty

OpticianTaxonomy code 156FX1800X

Legal business name

DJ-MN INC

Practice address

504 Pine St
Monticello, MN 55362-8570

Phone

(763) 295-4044

NPI assigned

Jan 16, 2007

Organization subpart

No

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

Authorized official

Name

Jane Thelen

Title

Owner

Phone

(763) 427-4000

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Select Eyecare Doing business as

Medicare fee-for-service enrollment

Enrolled in MN

Enrollment records 1

Other NPIs on the same Medicare enrollment 3

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

• DJ-MN Inc

  • Optician
  • Anoka, MN
  • NPI 1205988805

  O20070718000701

  Same enrollment
• DJ-MN Inc

  • Optician
  • Coon Rapids, MN
  • NPI 1578615019

  O20070718000701

  Same enrollment
• DJ-MN Inc

  • Optician
  • Watertown, MN
  • NPI 1720139579

  O20070718000701

  Same enrollment

Tax ID family

DJ-MN Inc3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

Organizations that report the same tax identification number in the National Provider Directory.

• DJ-MN Inc

  • Optician
  • Anoka, MN
  • NPI 1205988805
  NPD tax ID
• DJ-MN Inc

  • Optician
  • Coon Rapids, MN
  • NPI 1578615019
  NPD tax ID

Locations

Practitioners 10

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

• Lynette Rose Catapano, OD PC

  • Optometrist
  • Anoka, MN
  • NPI 1861493843
  NPD
• Timothy J Hurley, OD

  • Optometrist
  • Plymouth, MN
  • NPI 1518928845
  NPD
• Christina Nguyen Yang

  • Optometrist
  • Andover, MN
  • NPI 1407478969
  NPD
• Caitlin Elizabeth Golberg, OD

  • Optometrist
  • Everett, WA
  • NPI 1093079915
  NPD
• Douglas Gerard Herriott, OD

  • Optometrist
  • Lees Summit, MO
  • NPI 1700885860
  NPD
• Tania J Malara, O.D.

  • Optometrist
  • Hatboro, PA
  • NPI 1003966839
  NPD
• Pamela Marie Marzec, O.D.

  • Optometrist
  • Schaumburg, IL
  • NPI 1134472996
  NPD
• Malay Pansheria, O.D.

  • Optometrist
  • Fair Lawn, NJ
  • NPI 1821471657
  NPD
• Tamra Gean Emerson, O.D.

  • Optometrist
  • Anoka, MN
  • NPI 1679610125
  NPD (past)
• Jean L Layman, O.D.

  • Optometrist
  • Blaine, MN
  • NPI 1689785636
  NPD (past)

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

{
    "created_epoch": "1168905600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1756339200000",
    "number": "1124179049",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12 BRIDGE SQ STE 101",
            "city": "ANOKA",
            "state": "MN",
            "postal_code": "553032463",
            "telephone_number": "763-427-4000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "504 PINE ST",
            "city": "MONTICELLO",
            "state": "MN",
            "postal_code": "553628570",
            "telephone_number": "763-295-4044"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DJ-MN INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-16",
        "last_updated": "2025-08-28",
        "certification_date": "2025-08-28",
        "status": "A",
        "authorized_official_last_name": "THELEN",
        "authorized_official_first_name": "JANE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "763-427-4000"
    },
    "taxonomies": [
        {
            "code": "156FX1800X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Technician/Technologist, Optician",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "508608000",
            "state": "MN"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Select Eyecare",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Neil De Cleene, DPT, ATC
• Lisa Marie Demarais, OPA-C, CST
• Derek Abramowski DDS
• Cody J Dessellier, DC
• Teresa Jane Devine, MD
• Jazmine Rose Dunn
• Stephanie Duske, BS, COTA/L
• Evan Lucas Dyce, CNP
• Dynamic Balance PC
• Ecumen SBC Monticello Properties, LLC

• Optician in Monticello, MN
• Providers in Monticello, MN by specialty
• Optician in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 28, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.