NPIMap

Organization Active NPI

James J Hess & Scott Endres

  • Optometrist
  • Crystal, MN
National Provider Identifier
1215934880
Registry record updated Aug 17, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
3117442 Issued in MN
Legal business name
JAMES J HESS & SCOTT ENDRES
Practice address
5200 Douglas Dr N
Crystal, MN 55429-3104
Phone
(763) 537-3213
Fax
(763) 537-6732
NPI assigned
Jun 28, 2005
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 17, 2018

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

Authorized official

Name
James J Hess, O.D.
Title
Partner/Optometrist
Phone
(763) 537-3213

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
OptometristGroup: 193400000X SINGLE SPECIALTY GROUP 152W00000X 3117442 MN Primary

Addresses

Primary practice location

5200 Douglas Dr N
Crystal, MN 55429-3104

Mailing address

5200 Douglas Dr N
Crystal, MN 55429-3104
Phone (763) 537-3213

Other identifiers 8

IdentifierTypeStateIssuer
144823400OtherMNMA - DISP
101878OtherMNUCARE SRS ANDMN
10184LUOtherMNBLUE CROSS/BLUE SHIELD
21-15970OtherMNMEDICA CHOICE DISP
615OtherMNHEALTH PARTNERS
130829OtherMNCOLE MANAGED VISION
419272900MedicaidMN
CK7217OtherMNMEDICARE RAILROAD

Other names 1

  • Crystal Vision Clinic Doing business as

National Provider Directory

National Provider Directory

Locations

13647 Grove Dr
Maple Grove, MN 55311
Phone (763) 420-8030

Practitioners & affiliated clinicians

Practitioners 10

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": "1119916800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1534464000000",
    "number": "1215934880",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5200 DOUGLAS DR N",
            "city": "CRYSTAL",
            "state": "MN",
            "postal_code": "554293104",
            "telephone_number": "763-537-3213",
            "fax_number": "763-537-6732"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5200 DOUGLAS DR N",
            "city": "CRYSTAL",
            "state": "MN",
            "postal_code": "554293104",
            "telephone_number": "763-537-3213",
            "fax_number": "763-537-6732"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JAMES J HESS & SCOTT ENDRES",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-06-28",
        "last_updated": "2018-08-17",
        "status": "A",
        "authorized_official_last_name": "HESS",
        "authorized_official_first_name": "JAMES",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "PARTNER/OPTOMETRIST",
        "authorized_official_telephone_number": "763-537-3213",
        "authorized_official_credential": "O.D."
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": "MN",
            "license": "3117442",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MA - DISP",
            "identifier": "144823400",
            "state": "MN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UCARE SRS ANDMN",
            "identifier": "101878",
            "state": "MN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS/BLUE SHIELD",
            "identifier": "10184LU",
            "state": "MN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICA CHOICE DISP",
            "identifier": "21-15970",
            "state": "MN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HEALTH PARTNERS",
            "identifier": "615",
            "state": "MN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "COLE MANAGED VISION",
            "identifier": "130829",
            "state": "MN"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "419272900",
            "state": "MN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE RAILROAD",
            "identifier": "CK7217",
            "state": "MN"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Crystal Vision Clinic",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Crystal, MN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 17, 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.