NPIMap

Organization Active NPI

Proeyecare Associates PA

  • Ophthalmology Physician
  • Saint Paul, MN
National Provider Identifier
1225324981
Registry record updated Jun 21, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ophthalmology PhysicianTaxonomy code 207W00000X
Legal business name
PROEYECARE ASSOCIATES PA
Practice address
1570 Concordia Ave
Suite 202
Saint Paul, MN 55104-5338
Phone
(651) 645-3997
Fax
(651) 641-7207
NPI assigned
Jun 21, 2011
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 21, 2011

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

Authorized official

Name
Dianna Kent
Title
Clinic Administrator
Phone
(651) 645-3997

Specialties & licenses 1

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

Addresses

Primary practice location

1570 Concordia Ave
Suite 202
Saint Paul, MN 55104-5338

Mailing address

1570 Concordia Ave
Suite 202
Saint Paul, MN 55104-5338
Phone (651) 645-3997

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1308614400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1308614400000",
    "number": "1225324981",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1570 CONCORDIA AVE",
            "address_2": "SUITE 202",
            "city": "SAINT PAUL",
            "state": "MN",
            "postal_code": "551045338",
            "telephone_number": "651-645-3997",
            "fax_number": "651-641-7207"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1570 CONCORDIA AVE",
            "address_2": "SUITE 202",
            "city": "SAINT PAUL",
            "state": "MN",
            "postal_code": "551045338",
            "telephone_number": "651-645-3997",
            "fax_number": "651-641-7207"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PROEYECARE ASSOCIATES PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-06-21",
        "last_updated": "2011-06-21",
        "status": "A",
        "authorized_official_last_name": "KENT",
        "authorized_official_first_name": "DIANNA",
        "authorized_official_title_or_position": "CLINIC ADMINISTRATOR",
        "authorized_official_telephone_number": "651-645-3997"
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Ophthalmology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Saint Paul, MN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 21, 2011; 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.