Southwest Eye Care

Primary specialty

OptometristTaxonomy code 152W00000X

License

2627 Issued in MN

Legal business name

SOUTHWEST EYE CARE

Practice address

1201 Greeley Ave N # 3
Glencoe, MN 55336-2135

Phone

(320) 864-2020

Fax

(320) 864-6684

NPI assigned

Apr 6, 2007

Last updated

Apr 30, 2008By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Ms. Kristi Leann Narum

Title

Business Manager

Phone

(952) 466-3937

Specialties & licenses 1

Addresses

Other identifiers 8

Locations

Practitioners 3

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.

• Scott A Glaser, O.D.

  • Optometrist
  • Hutchinson, MN
  • NPI 1487644969
  NPD (past)
• Aubree Thorseth, OD

  • Optometrist
  • Glencoe, MN
  • NPI 1104481985
  NPD (past)
• Mark W Wellnitz, O.D.

  • Optometrist
  • Glencoe, MN
  • NPI 1528374600
  NPD (past)

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

{
    "created_epoch": "1175817600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1209513600000",
    "number": "1144343252",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1464 WHITE OAK DR",
            "city": "CHASKA",
            "state": "MN",
            "postal_code": "553182525",
            "telephone_number": "952-466-3937",
            "fax_number": "952-466-3936"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1201 GREELEY AVE N # 3",
            "city": "GLENCOE",
            "state": "MN",
            "postal_code": "553362135",
            "telephone_number": "320-864-2020",
            "fax_number": "320-864-6684"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SOUTHWEST EYE CARE",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-04-06",
        "last_updated": "2008-04-30",
        "status": "A",
        "authorized_official_last_name": "NARUM",
        "authorized_official_first_name": "KRISTI",
        "authorized_official_middle_name": "LEANN",
        "authorized_official_title_or_position": "BUSINESS MANAGER",
        "authorized_official_telephone_number": "952-466-3937",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "MN",
            "license": "2627",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "617518000",
            "state": "MN"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "958906600",
            "state": "MN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI CHAD DOCKTER",
            "identifier": "1104975762",
            "state": "MN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI AMY",
            "identifier": "1881741213",
            "state": "MN"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "683719100",
            "state": "MN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "GREGORY MACIK",
            "identifier": "1922004514",
            "state": "MN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CHRISTOPHER FREED",
            "identifier": "1770631889",
            "state": "MN"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "650127300",
            "state": "MN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Kenneth M Smith, MD
• Peter Thomas Smyth, MD
• Laurie Ann Snegosky, RN/PHN
• Kimberly Rose Sobiech, OTR/L
• Renata Solum
• Rosetta Stewart-Boney
• Carol J Straughan, MD
• Te Deo, LLC (Glencoe Family Chiropractic)
• Dorothy W Tevis, P.T.
• The Jonas Center

• Optometrist in Glencoe, MN
• Providers in Glencoe, MN by specialty
• Optometrist in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 30, 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.