Organization Active NPI

Jamison Optical LLC

  • Optometrist
  • Eden Prairie, MN
National Provider Identifier
1144652041
Registry record updated Aug 1, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
3174 Issued in MN
Legal business name
JAMISON OPTICAL LLC
Practice address
7912 Mitchell Rd
Eden Prairie, MN 55344-2218
Phone
(612) 206-6046
NPI assigned
Aug 1, 2013
Last updated
Aug 1, 2013By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 1, 2013

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

Authorized official

Name
Dr. Pei Ling C Jamison, O.D.NPI 1508096314
Title
Owner
Phone
(612) 206-6046

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 3174 MN Primary

Addresses

Primary practice location

7912 Mitchell Rd
Eden Prairie, MN 55344-2218

Mailing address

11316 Goodhue St NE
Blaine, MN 55449-4448
Phone (612) 206-6046

National Provider Directory

National Provider Directory

Locations

7912 Mitchell Rd
Eden Prairie, MN 55344
Phone (612) 206-6046

Practitioners & affiliated clinicians

Practitioners 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1375315200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1375315200000",
    "number": "1144652041",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11316 GOODHUE ST NE",
            "city": "BLAINE",
            "state": "MN",
            "postal_code": "554494448",
            "telephone_number": "612-206-6046"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7912 MITCHELL RD",
            "city": "EDEN PRAIRIE",
            "state": "MN",
            "postal_code": "553442218",
            "telephone_number": "612-206-6046"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JAMISON OPTICAL LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-08-01",
        "last_updated": "2013-08-01",
        "status": "A",
        "authorized_official_last_name": "JAMISON",
        "authorized_official_first_name": "PEI LING",
        "authorized_official_middle_name": "C",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "612-206-6046",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "O.D."
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "MN",
            "license": "3174",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Eden Prairie, MN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 1, 2013; 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.