Active NPI
Ovitsky Vision Care of Minnesota PC
- Optometrist
- Saint Paul, MN
National Provider Identifier
1174010656
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- Legal business name
- OVITSKY VISION CARE OF MINNESOTA PC
- Practice address
- 445 Minnesota St Ste 1500
Saint Paul, MN 55101-2269 - Phone
- (773) 588-3090
- Fax
- (773) 588-3210
- NPI assigned
- Apr 19, 2018
- 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
- Michael Ovitsky
- Title
- Vice President
- Phone
- (773) 588-3090
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Optometrist | 152W00000X | Primary |
Addresses
Primary practice location
445 Minnesota St Ste 1500
Saint Paul, MN 55101-2269
Mailing address
445 Minnesota St Ste 1500
Saint Paul, MN 55101-2269
Phone (773) 588-3090
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MN
Enrollment records 1
National Provider Directory
National Provider DirectoryLocations
511 W Blue Earth St
Lake Crystal, MN 56055
Phone (507) 726-6537
5700 E River Rd
Minneapolis, MN 55432
Phone (763) 571-3150
501 2nd St SE
Osseo, MN 55369
Phone (763) 425-3939
Practitioners & affiliated clinicians
Practitioners 5
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Optometrist
- Saint Paul, MN
- NPI 1831619998
-
- Optometrist
- Inver Grove Heights, MN
- NPI 1568497576
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1524096000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1524096000000",
"number": "1174010656",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "445 MINNESOTA ST STE 1500",
"city": "SAINT PAUL",
"state": "MN",
"postal_code": "551012269",
"telephone_number": "773-588-3090",
"fax_number": "773-588-3210"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "445 MINNESOTA ST STE 1500",
"city": "SAINT PAUL",
"state": "MN",
"postal_code": "551012269",
"telephone_number": "773-588-3090",
"fax_number": "773-588-3210"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "OVITSKY VISION CARE OF MINNESOTA PC",
"organizational_subpart": "NO",
"enumeration_date": "2018-04-19",
"last_updated": "2018-04-19",
"status": "A",
"authorized_official_last_name": "OVITSKY",
"authorized_official_first_name": "MICHAEL",
"authorized_official_title_or_position": "VICE PRESIDENT",
"authorized_official_telephone_number": "773-588-3090"
},
"taxonomies": [
{
"code": "152W00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Optometrist",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Saint Paul, MN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 19, 2018; 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.