Organization Active NPI

Vision Optical Inc

  • Optometrist
  • Bemidji, MN
National Provider Identifier
1134276785
Registry record updated Dec 11, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
2349 Issued in MN
Legal business name
VISION OPTICAL INC
Practice address
1401 Paul Bunyan Dr NW
Paul Bunyan Mall
Bemidji, MN 56601-4155
Phone
(218) 751-7255
Fax
(218) 751-7256
NPI assigned
Jan 5, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 11, 2008

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

Authorized official

Name
Dr. Paul Lee Dubbels, O.D.
Title
President
Phone
(218) 751-7255

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
OptometristGroup: 193400000X SINGLE SPECIALTY GROUP 152W00000X 2349 MN Primary

Addresses

Primary practice location

1401 Paul Bunyan Dr NW
Paul Bunyan Mall
Bemidji, MN 56601-4155

Mailing address

1401 Paul Bunyan Dr NW
Paul Bunyan Mall
Bemidji, MN 56601-4155
Phone (218) 751-7255

National Provider Directory

National Provider Directory

Locations

1401 Paul Bunyan Dr NW
Bemidji, MN 56601
Phone (218) 751-7255

NPI Registry JSON

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

{
    "created_epoch": "1167955200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1228953600000",
    "number": "1134276785",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1401 PAUL BUNYAN DR NW",
            "address_2": "PAUL BUNYAN MALL",
            "city": "BEMIDJI",
            "state": "MN",
            "postal_code": "566014155",
            "telephone_number": "218-751-7255",
            "fax_number": "218-751-7256"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1401 PAUL BUNYAN DR NW",
            "address_2": "PAUL BUNYAN MALL",
            "city": "BEMIDJI",
            "state": "MN",
            "postal_code": "566014155",
            "telephone_number": "218-751-7255",
            "fax_number": "218-751-7256"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VISION OPTICAL INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-05",
        "last_updated": "2008-12-11",
        "status": "A",
        "authorized_official_last_name": "DUBBELS",
        "authorized_official_first_name": "PAUL",
        "authorized_official_middle_name": "LEE",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "218-751-7255",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "O.D."
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": "MN",
            "license": "2349",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bemidji, MN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 11, 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.