Active NPI
Midwest Vision Centers Inc
- Optician
- Detroit Lakes, MN
National Provider Identifier
1144364894
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optician
- Legal business name
- MIDWEST VISION CENTERS INC
- Doing business as
- Midwest Vision Centers
- Practice address
- 830 Washington Avenue
Detroit Lakes, MN 56501 - Phone
- (218) 847-2127
- Fax
- (218) 847-0911
- NPI assigned
- Feb 16, 2007
- Organization subpart
- Yes
- Parent organization
- MIDWEST VISION CENTERS INC.
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Carin Marie Evans
- Title
- Director of Operations
- Phone
- (320) 252-5777
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Optician | 156FX1800X | Primary |
Addresses
Primary practice location
830 Washington Avenue
Detroit Lakes, MN 56501
Mailing address
PO Box 456
Saint Cloud, MN 56302
Phone (320) 252-5777
Other identifiers 7
| Identifier | Type | State | Issuer |
|---|---|---|---|
| MN1917 | Other | MN | EYEMED PROVIDER NUMBER |
| 04S34ST | Other | MN | BCBS MINNESOTA |
| 890422 | Other | ND | NORTH DAKOTA VISION SERVI |
| 125785400 | Medicaid | MN | |
| 21-12067 | Other | MN | MEDICA PROVIDER ID DISPEN |
| 24G89ST | Other | MN | BCBS MN EXAMS |
| 22-00802 | Other | MN | MEDICA PROVIDER ID EXAMS |
Other names 1
- Midwest Vision Centers
National Provider Directory
National Provider Directory- Part of
- Mann Enterprises of St
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1171584000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1636502400000",
"number": "1144364894",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 456",
"city": "SAINT CLOUD",
"state": "MN",
"postal_code": "56302",
"telephone_number": "320-252-5777",
"fax_number": "320-258-3136"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "830 WASHINGTON AVENUE",
"city": "DETROIT LAKES",
"state": "MN",
"postal_code": "56501",
"telephone_number": "218-847-2127",
"fax_number": "218-847-0911"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "MIDWEST VISION CENTERS INC",
"organizational_subpart": "YES",
"parent_organization_legal_business_name": "MIDWEST VISION CENTERS INC.",
"enumeration_date": "2007-02-16",
"last_updated": "2021-11-10",
"certification_date": "2021-11-10",
"status": "A",
"authorized_official_last_name": "EVANS",
"authorized_official_first_name": "CARIN",
"authorized_official_middle_name": "MARIE",
"authorized_official_title_or_position": "DIRECTOR OF OPERATIONS",
"authorized_official_telephone_number": "320-252-5777"
},
"taxonomies": [
{
"code": "156FX1800X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Technician/Technologist, Optician",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "EYEMED PROVIDER NUMBER",
"identifier": "MN1917",
"state": "MN"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS MINNESOTA",
"identifier": "04S34ST",
"state": "MN"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "NORTH DAKOTA VISION SERVI",
"identifier": "890422",
"state": "ND"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "125785400",
"state": "MN"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICA PROVIDER ID DISPEN",
"identifier": "21-12067",
"state": "MN"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS MN EXAMS",
"identifier": "24G89ST",
"state": "MN"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICA PROVIDER ID EXAMS",
"identifier": "22-00802",
"state": "MN"
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "Midwest Vision Centers",
"code": "3",
"type": "Doing Business As"
},
{
"organization_name": "Midwest Vision Centers",
"code": "3",
"type": "Doing Business As"
}
]
}Other providers in Detroit Lakes, MN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 10, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.