Cloquet Eyecare and Contact Lens Center

Primary specialty

OptometristTaxonomy code 152W00000X

License

1611 Issued in MN

Legal business name

CLOQUET EYECARE AND CONTACT LENS CENTER

Practice address

807 Cloquet Ave
Cloquet, MN 55720-1675

Phone

(218) 879-2400

NPI assigned

Aug 29, 2008

Last updated

Feb 3, 2009By 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

Dr. James A Reedstrom, O.D.

Title

Optometrist

Phone

(218) 879-2400

Specialties & licenses 1

Addresses

Other identifiers 2

Locations

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.

• John Andrew Benson, D.C.

  • Chiropractor
  • Cloquet, MN
  • NPI 1245259738
  NPD (past)

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

{
    "created_epoch": "1219968000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1233619200000",
    "number": "1194973354",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "807 CLOQUET AVE",
            "city": "CLOQUET",
            "state": "MN",
            "postal_code": "557201675",
            "telephone_number": "218-879-2400"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "807 CLOQUET AVE",
            "city": "CLOQUET",
            "state": "MN",
            "postal_code": "557201675",
            "telephone_number": "218-879-2400"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CLOQUET EYECARE AND CONTACT LENS CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-08-29",
        "last_updated": "2009-02-03",
        "status": "A",
        "authorized_official_last_name": "REEDSTROM",
        "authorized_official_first_name": "JAMES",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "OPTOMETRIST",
        "authorized_official_telephone_number": "218-879-2400",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "O.D."
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "MN",
            "license": "1611",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UPIN",
            "identifier": "T63074",
            "state": "MN"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "042338600",
            "state": "MN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Marguerite M Chiovitti Podgorsek, DDS
• City of Cloquet (Cloquet Ambulance Service)
• Sarah Elizabeth Class, RN, CDCES
• Cloquet Area Fire District
• Cloquet Connect LLC
• Cloquet Isd 94
• Cloquet Psychological
• Cloquet Psychological LLC
• Stacy Leah Colich
• Nicole Collins, LICSW

• Optometrist in Cloquet, MN
• Providers in Cloquet, MN by specialty
• Optometrist in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 3, 2009; 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.