Active NPI
St. Paul Opticians, Inc.
- Eyewear Supplier
- Eagan, MN
National Provider Identifier
1194153486
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Eyewear Supplier
- Legal business name
- ST. PAUL OPTICIANS, INC.
- Practice address
- 3440 Oleary LN
Eagan, MN 55123-2340 - Phone
- (651) 454-3839
- Fax
- (651) 994-8867
- NPI assigned
- Oct 23, 2013
- 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
- Dr. Thomas J. Rice, M.D.
- Title
- Ceo/President
- Phone
- (651) 738-6800
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Eyewear Supplier | 332H00000X | Primary |
Addresses
Primary practice location
3440 Oleary LN
Eagan, MN 55123-2340
Mailing address
2080 Woodwinds Dr
Suite 110
Woodbury, MN 55125-2523
Phone (651) 738-6800
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MN
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20140801002185 | MN | DME Supplier - Optician | 5597981308 | Practice locations: Eagan, MN |
Other NPIs with the same Medicare PAC ID 5
NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).
National Provider Directory
National Provider Directory- Tax ID family
- St Paul Opticians Inc
Other organizations with this tax ID 4
Organizations that report the same tax identification number in the National Provider Directory.
-
- Eyewear Supplier
- Woodbury, MN
- NPI 1124456413
-
- Eyewear Supplier
- Maplewood, MN
- NPI 1134557432
-
- Eyewear Supplier
- Roseville, MN
- NPI 1679901979
-
- Eyewear Supplier
- Saint Paul, MN
- NPI 1710315007
Locations
3440 Oleary Ln
Eagan, MN 55123
Phone (651) 454-3839
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1382486400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1382486400000",
"number": "1194153486",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2080 WOODWINDS DR",
"address_2": "SUITE 110",
"city": "WOODBURY",
"state": "MN",
"postal_code": "551252523",
"telephone_number": "651-738-6800",
"fax_number": "651-738-6804"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3440 OLEARY LN",
"city": "EAGAN",
"state": "MN",
"postal_code": "551232340",
"telephone_number": "651-454-3839",
"fax_number": "651-994-8867"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "ST. PAUL OPTICIANS, INC.",
"organizational_subpart": "NO",
"enumeration_date": "2013-10-23",
"last_updated": "2013-10-23",
"status": "A",
"authorized_official_last_name": "RICE",
"authorized_official_first_name": "THOMAS",
"authorized_official_middle_name": "J.",
"authorized_official_title_or_position": "CEO/PRESIDENT",
"authorized_official_telephone_number": "651-738-6800",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "M.D."
},
"taxonomies": [
{
"code": "332H00000X",
"taxonomy_group": "",
"desc": "Eyewear Supplier",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Eagan, MN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 23, 2013; 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.