Minnesota Eye Consultants, PA

Primary specialty

OptometristTaxonomy code 152W00000X

License

1751 Issued in MN

Legal business name

MINNESOTA EYE CONSULTANTS, PA

Practice address

9801 Dupont Ave S
Suite 425
Bloomington, MN 55431-3100

Phone

(952) 567-6092

NPI assigned

Sep 8, 2006

Organization subpart

No

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

Authorized official

Name

Candace Simerson

Title

President

Phone

(952) 567-6100

Specialties & licenses 1

Addresses

Other names 1

• Eye Care Network Doing business as

Tax ID family

MN Eye Consultants PA4 organizations share this tax ID, including this one

Other organizations with this tax ID 3

Organizations that report the same tax identification number in the National Provider Directory.

• Minnesota Eye Consultants, PA

  • Ophthalmology Physician
  • Blaine, MN
  • NPI 1104146265
  NPD tax ID
• Minnesota Eye Consultants, PA

  • Ophthalmology Physician
  • Falcon Heights, MN
  • NPI 1467815357
  NPD tax ID
• Minnesota Eye Consultants, PA

  • Eyewear Supplier
  • Bloomington, MN
  • NPI 1952452674
  NPD tax ID

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

{
    "created_epoch": "1157673600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1205930542",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9801 DUPONT AVE S",
            "address_2": "SUITE 425",
            "city": "BLOOMINGTON",
            "state": "MN",
            "postal_code": "554313100",
            "telephone_number": "952-567-6092"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9801 DUPONT AVE S",
            "address_2": "SUITE 425",
            "city": "BLOOMINGTON",
            "state": "MN",
            "postal_code": "554313100",
            "telephone_number": "952-567-6092"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MINNESOTA EYE CONSULTANTS, PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-09-08",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "SIMERSON",
        "authorized_official_first_name": "CANDACE",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "952-567-6100"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": "MN",
            "license": "1751",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Eye Care Network",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Minnesota Children'S Autism Center
• Minnesota Clinical & Neuropsychological Associates, P.a.
• Minnesota Counseling and Therapy Center
• Minnesota Counseling and Therapy Center, Inc
• Minnesota Dental Surgery PLLC
• Minnesota Eye Consultants, PA
• Minnesota Eye Consultants, PA
• Minnesota Eye Consultants, PA
• Minnesota Eye Laser & Surgery Centers, LLC
• Minnesota Haven Homes

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.