Valley Eye Clinic & Optical, PA

Primary specialty

OptometristTaxonomy code 152W00000X

License

2776 Issued in MN

Legal business name

VALLEY EYE CLINIC & OPTICAL, PA

Practice address

1431 Beam Ave
Maplewood, MN 55109-1064

Phone

(612) 486-1749

Fax

(612) 486-1750

NPI assigned

Dec 1, 2010

Organization subpart

No

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

Authorized official

Name

Dr. David H Hess, ODNPI 1588738298

Title

Owner

Phone

(612) 486-1749

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in MN

Enrollment records 1

Tax ID family

Valley Eye Clinic Optical PA2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• Valley Eye Clinic & Optical P.a.

  • Optometrist
  • Washington, MO
  • NPI 1396059549
  NPD tax ID

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• David H. Hess, O.D.

  • Optometrist
  • New Brighton, MN
  • NPI 1588738298
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1291161600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1314057600000",
    "number": "1265734909",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1431 BEAM AVE",
            "city": "MAPLEWOOD",
            "state": "MN",
            "postal_code": "551091064",
            "telephone_number": "612-486-1749",
            "fax_number": "612-486-1750"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1431 BEAM AVE",
            "city": "MAPLEWOOD",
            "state": "MN",
            "postal_code": "551091064",
            "telephone_number": "612-486-1749",
            "fax_number": "612-486-1750"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VALLEY EYE CLINIC & OPTICAL, PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-12-01",
        "last_updated": "2011-08-23",
        "status": "A",
        "authorized_official_last_name": "HESS",
        "authorized_official_first_name": "DAVID",
        "authorized_official_middle_name": "H",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "612-486-1749",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "OD"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": "MN",
            "license": "2776",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LICENSE",
            "identifier": "2776",
            "state": "MN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Unicare Home Health Solutions Inc
• Usha Nurse LLC
• Christopher Neville Ussher, M.D.
• Larissa Vados, L.AC.
• Drew Alexander Valle
• Alicia Ann Vandenberg, MSW, LICSW
• Charles Vang, M.D.
• Chrissy Vang, MOT, OTR/L
• Mai Ker Vang
• Mina Ly Vang

• Optometrist in Maplewood, MN
• Providers in Maplewood, MN by specialty
• Optometrist in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 23, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.