Active NPI
Vision Optical Inc
- Optometrist
- Bemidji, MN
National Provider Identifier
1134276785
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- License
- 2349
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Optometrist | 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 DirectoryLocations
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.