NPIMap

Organization Active NPI

Eye Care Associates, PA

  • Ophthalmology Physician
  • Minneapolis, MN
National Provider Identifier
1194290486
Registry record updated Oct 12, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ophthalmology PhysicianTaxonomy code 207W00000X
Legal business name
EYE CARE ASSOCIATES, PA
Practice address
710 E 24TH St Ste 101-201
Minneapolis, MN 55404-3840
Phone
(612) 871-0100
Fax
(612) 871-0237
NPI assigned
Oct 12, 2018
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 12, 2018

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

Authorized official

Name
Autumn A Arvidson
Title
Administrator
Phone
(612) 338-4861

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Ophthalmology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207W00000X Primary

Addresses

Primary practice location

710 E 24TH St Ste 101-201
Minneapolis, MN 55404-3840

Mailing address

825 Nicollet Mall Ste 2000
Minneapolis, MN 55402-2708
Phone (612) 338-4861

National Provider Directory

National Provider Directory

Locations

710 E 24th St
Ste 101201
Minneapolis, MN 55404
Phone (612) 871-0100

710 E 24th St
Ste 101
Minneapolis, MN 55404
Phone (612) 872-6564

Practitioners & affiliated clinicians

Practitioners 8

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1539302400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1539302400000",
    "number": "1194290486",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "825 NICOLLET MALL STE 2000",
            "city": "MINNEAPOLIS",
            "state": "MN",
            "postal_code": "554022708",
            "telephone_number": "612-338-4861",
            "fax_number": "612-333-8306"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "710 E 24TH ST STE 101-201",
            "city": "MINNEAPOLIS",
            "state": "MN",
            "postal_code": "554043840",
            "telephone_number": "612-871-0100",
            "fax_number": "612-871-0237"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EYE CARE ASSOCIATES, PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-10-12",
        "last_updated": "2018-10-12",
        "status": "A",
        "authorized_official_last_name": "ARVIDSON",
        "authorized_official_first_name": "AUTUMN",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "612-338-4861"
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Ophthalmology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Minneapolis, MN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 12, 2018; 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.