Active NPI
Stacey Ann Ulrick, O.D.
- Optometrist
- Chaska, MN
National Provider Identifier
1255426516
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- License
- 2753000
- Practice address
- 111 Pioneer TRL
Chaska, MN 55318-1121 - Phone
- (952) 361-6249
- Fax
- (952) 361-6877
- NPI assigned
- Oct 4, 2006
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Optometrist | 152W00000X | 2753000 | MN | Primary |
Addresses
Primary practice location
111 Pioneer TRL
Chaska, MN 55318-1121
Mailing address
520 Skyview LN
Carver, MN 55315-9352
Phone (952) 448-4948
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2753000 | MN | MD | Optometrist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Seek Eye Care, PA | Optometrist | Past | Accepting new patients |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Optometrist
- Victoria, MN
- NPI 1710433420
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1159920000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1231804800000",
"number": "1255426516",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "520 SKYVIEW LN",
"city": "CARVER",
"state": "MN",
"postal_code": "553159352",
"telephone_number": "952-448-4948",
"fax_number": "952-448-4948"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "111 PIONEER TRL",
"city": "CHASKA",
"state": "MN",
"postal_code": "553181121",
"telephone_number": "952-361-6249",
"fax_number": "952-361-6877"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ULRICK",
"first_name": "STACEY",
"middle_name": "ANN",
"name_prefix": "Dr.",
"credential": "O.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-10-04",
"last_updated": "2009-01-13",
"status": "A"
},
"taxonomies": [
{
"code": "152W00000X",
"taxonomy_group": "",
"desc": "Optometrist",
"state": "MN",
"license": "2753000",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Chaska, MN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 13, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.