Laura L Flockencier, O.D.

Primary specialty

OptometristTaxonomy code 152W00000X

License

2487 Issued in MN

Practice address

1540 Humboldt Ave
West St Paul, MN 55118-3417

Phone

(651) 457-2020

NPI assigned

Jun 12, 2007

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in MN

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: No
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Specialty

Optometry

Education

Southern College of Optometry, 1994

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Dakota Optometric Eye Care Associates, P.a.Group PAC ID 0749381218, 5 clinicians

Practice addresses (Care Compare)

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Dakota Optometric Eye Care Associates, P.a.

  • Optometrist
  • Saint Paul, MN
  • NPI 1598773780
  Medicare reassignment Care Compare group NPD
• Optometric Services, LLC

  • Optometrist
  • Roseville, MN
  • NPI 1518010495
  NPD (past)

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

{
    "created_epoch": "1181606400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1185753600000",
    "number": "1194929505",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1536 PASCAL ST N",
            "city": "SAINT PAUL",
            "state": "MN",
            "postal_code": "551082329",
            "telephone_number": "651-659-0591"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1540 HUMBOLDT AVE",
            "city": "WEST ST PAUL",
            "state": "MN",
            "postal_code": "551183417",
            "telephone_number": "651-457-2020"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FLOCKENCIER",
        "first_name": "LAURA",
        "middle_name": "L",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-06-12",
        "last_updated": "2007-07-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "MN",
            "license": "2487",
            "primary": true
        },
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "MO",
            "license": "T03276",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "788214900",
            "state": "MN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Evernear Care Corp.
• Raymond John Fabian Jr., PTA
• Family Healthservices Minnesota, P.a.
• Family Healthservices Minnesota, P.a.
• Vivian Fischer, MD
• Fourone2020 PLLC
• Kathleen Ann Fox, OTR/L
• Garrity Optimum Health PA
• Brian Scott Garrity, DC, RVT
• Garza Therapeutic, LLC

• Optometrist in West St Paul, MN
• Providers in West St Paul, MN by specialty
• Optometrist in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 30, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.