NPIMap

Organization Active NPI

Downtown Eyes Crosstown PLLC

  • Optometrist
  • Richfield, MN
National Provider Identifier
1134637457
Registry record updated Oct 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
3211 Issued in MN
Legal business name
DOWNTOWN EYES CROSSTOWN PLLC
Practice address
6601 Lyndale Ave S
Richfield, MN 55423-2477
Phone
(612) 869-1333
Fax
(612) 869-2333
NPI assigned
Jan 22, 2018
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 22, 2020

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

Authorized official

Name
Dr. Mary Ann Joy Zastrow, ODNPI 1538471560
Title
Owner
Phone
(507) 210-0469

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
OptometristGroup: 193200000X MULTI-SPECIALTY GROUP 152W00000X 3211 MN Primary
Glaucoma Specialist (Ophthalmology) PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207WX0009X

Addresses

Primary practice location

6601 Lyndale Ave S
Richfield, MN 55423-2477

Mailing address

800 Nicollet Mall Ste 260
Minneapolis, MN 55402-7023
Phone (612) 333-3937

Other names 1

  • Downtown Eyes Crosstown Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MN

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20180706001062 MN Part B Supplier - Clinic/Group Practice 5395091243 Receives reassigned benefits from 4 practitioners
Practice locations: Richfield, MN

National Provider Directory

National Provider Directory

Locations

6601 Lyndale Ave S
Ste 160
Richfield, MN 55423
Phone (612) 869-1333

Practitioners & affiliated clinicians

Practitioners 6

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

NPI Registry JSON

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

{
    "created_epoch": "1516579200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1603324800000",
    "number": "1134637457",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "800 NICOLLET MALL STE 260",
            "city": "MINNEAPOLIS",
            "state": "MN",
            "postal_code": "554027023",
            "telephone_number": "612-333-3937",
            "fax_number": "612-359-0607"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6601 LYNDALE AVE S",
            "city": "RICHFIELD",
            "state": "MN",
            "postal_code": "554232477",
            "telephone_number": "612-869-1333",
            "fax_number": "612-869-2333"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DOWNTOWN EYES CROSSTOWN PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-01-22",
        "last_updated": "2020-10-22",
        "certification_date": "2020-10-22",
        "status": "A",
        "authorized_official_last_name": "ZASTROW",
        "authorized_official_first_name": "MARY ANN",
        "authorized_official_middle_name": "JOY",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "507-210-0469",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "OD"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Optometrist",
            "state": "MN",
            "license": "3211",
            "primary": true
        },
        {
            "code": "207WX0009X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Ophthalmology, Glaucoma Specialist",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Downtown Eyes Crosstown",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Richfield, MN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 22, 2020; 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.