Paden Enterprises LLC, Dba

Primary specialty

OpticianTaxonomy code 156FX1800X

Legal business name

PADEN ENTERPRISES LLC, DBA

Doing business as

Eye Care Center of Buffalo

Practice address

120 1St Ave S
Buffalo, MN 55313-1411

Phone

(763) 682-3600

Fax

(763) 682-1159

NPI assigned

Oct 18, 2006

Organization subpart

No

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

Authorized official

Name

Mrs. Lisa Ann Paden

Title

Owner/Optician

Phone

(763) 682-3600

Specialties & licenses 1

Addresses

Other names 1

• Eye Care Center of Buffalo Doing business as

Locations

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

{
    "created_epoch": "1161129600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1245311125",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "120 1ST AVE S",
            "city": "BUFFALO",
            "state": "MN",
            "postal_code": "553131411",
            "telephone_number": "763-682-3600",
            "fax_number": "763-682-1159"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "120 1ST AVE S",
            "city": "BUFFALO",
            "state": "MN",
            "postal_code": "553131411",
            "telephone_number": "763-682-3600",
            "fax_number": "763-682-1159"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PADEN ENTERPRISES LLC, DBA",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-18",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "PADEN",
        "authorized_official_first_name": "LISA",
        "authorized_official_middle_name": "ANN",
        "authorized_official_title_or_position": "OWNER/OPTICIAN",
        "authorized_official_telephone_number": "763-682-3600",
        "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": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Eye Care Center of Buffalo",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Optician in Buffalo, MN
• Providers in Buffalo, MN by specialty
• Optician 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.