Eyestyles Optical and Boutique

Primary specialty

Eyewear SupplierTaxonomy code 332H00000X

Legal business name

EYESTYLES OPTICAL AND BOUTIQUE

Practice address

1189 Geneva Ave N
Oakdale, MN 55128-5746

Phone

(651) 702-2504

NPI assigned

Mar 20, 2017

Last updated

Mar 20, 2017By 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

Nicola Griffin

Title

Owner

Phone

(651) 702-2504

Specialties & licenses 1

Addresses

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.

• Sara Ann Mabie, OD

  • Optometrist
  • Oakdale, MN
  • NPI 1467624643
  NPD (past)

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

{
    "created_epoch": "1489968000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1489968000000",
    "number": "1174064364",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1189 GENEVA AVE N",
            "city": "OAKDALE",
            "state": "MN",
            "postal_code": "551285746",
            "telephone_number": "651-702-2504"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1189 GENEVA AVE N",
            "city": "OAKDALE",
            "state": "MN",
            "postal_code": "551285746",
            "telephone_number": "651-702-2504"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EYESTYLES OPTICAL AND BOUTIQUE",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-03-20",
        "last_updated": "2017-03-20",
        "status": "A",
        "authorized_official_last_name": "GRIFFIN",
        "authorized_official_first_name": "NICOLA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "651-702-2504"
    },
    "taxonomies": [
        {
            "code": "332H00000X",
            "taxonomy_group": "",
            "desc": "Eyewear Supplier",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• John M Elverum, OD
• Endoura Effect, PLLC (The Endoura Effect)
• Mikaela Erickson, LPCC
• Sarah Evans
• Everwell Primary Care PLLC (EverWell Primary Care)
• F.H. Russomanno Jr., D.D.S.. P.a., (Oakdale Family Dentistry)
• Eric Oscar Faehn, D.C.
• Fairview Pharmacy Services, LLC (Fairview Oakdale Clinic MTM)
• Christopher J Fallert, MD
• Michaela Rose-Bodensteiner Fandel, MA

• Eyewear Supplier in Oakdale, MN
• Providers in Oakdale, MN by specialty
• Eyewear Supplier in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 20, 2017; 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.