Active NPI
Midwest Vision Centers Inc
- Optician
- Minot, ND
National Provider Identifier
1245303874
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optician
- Legal business name
- MIDWEST VISION CENTERS INC
- Practice address
- 2400 10TH St SW
Minot, ND 58701-2013 - Phone
- (701) 852-6836
- Fax
- (701) 852-0971
- NPI assigned
- Nov 15, 2006
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mrs. Carin Marie Evans
- Title
- Director of Operations
- Phone
- (888) 466-5777
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Optician | 156FX1800X | Primary |
Addresses
Primary practice location
2400 10TH St SW
Minot, ND 58701-2013
Mailing address
PO Box 456
Saint Cloud, MN 56302-0456
Phone (888) 466-5777
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 60601 | Medicaid | ND | |
| 02730006 | Other | ND | BLUE CROSS BLUE SHIELD ND |
| 23180 | Other | ND | PREFERRED ONE |
Other names 1
- MIDWEST VISION CENTERS
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1163548800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1636502400000",
"number": "1245303874",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 456",
"city": "SAINT CLOUD",
"state": "MN",
"postal_code": "563020456",
"telephone_number": "888-466-5777",
"fax_number": "320-258-3136"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2400 10TH ST SW",
"city": "MINOT",
"state": "ND",
"postal_code": "587012013",
"telephone_number": "701-852-6836",
"fax_number": "701-852-0971"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "MIDWEST VISION CENTERS INC",
"organizational_subpart": "NO",
"enumeration_date": "2006-11-15",
"last_updated": "2021-11-10",
"certification_date": "2021-11-10",
"status": "A",
"authorized_official_last_name": "EVANS",
"authorized_official_first_name": "CARIN",
"authorized_official_middle_name": "MARIE",
"authorized_official_title_or_position": "DIRECTOR OF OPERATIONS",
"authorized_official_telephone_number": "888-466-5777",
"authorized_official_name_prefix": "Mrs."
},
"taxonomies": [
{
"code": "156FX1800X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Technician/Technologist, Optician",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "60601",
"state": "ND"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CROSS BLUE SHIELD ND",
"identifier": "02730006",
"state": "ND"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "PREFERRED ONE",
"identifier": "23180",
"state": "ND"
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "MIDWEST VISION CENTERS",
"code": "3",
"type": "Doing Business As"
},
{
"organization_name": "MIDWEST VISION CENTERS",
"code": "3",
"type": "Doing Business As"
}
]
}Other providers in Minot, ND
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 10, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.