Summit Eye Care of Minnesota SC

Primary specialty

Ophthalmology PhysicianTaxonomy code 207W00000X

Legal business name

SUMMIT EYE CARE OF MINNESOTA SC

Practice address

3366 Oakdale Ave N Ste 140
Robbinsdale, MN 55422-2961

Phone

(612) 445-9110

Fax

(952) 479-5287

NPI assigned

Oct 11, 2019

Organization subpart

No

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

Authorized official

Name

John A Vukich, MD

Title

Owner

Phone

(608) 220-7767

Specialties & licenses 1

Addresses

Locations

Interoperability endpoints

• Direct secure messaging: dwebb@gellc.intellechartdirect.net

Practitioners 1

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

• Dana A. Webb, O.D.

  • Optometrist
  • Menomonee Falls, WI
  • NPI 1487662177
  NPD

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

{
    "created_epoch": "1570752000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1589155200000",
    "number": "1275175119",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5715 W OLD SHAKOPEE RD # 150",
            "city": "BLOOMINGTON",
            "state": "MN",
            "postal_code": "554373107"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3366 OAKDALE AVE N STE 140",
            "city": "ROBBINSDALE",
            "state": "MN",
            "postal_code": "554222961",
            "telephone_number": "612-445-9110",
            "fax_number": "952-479-5287"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SUMMIT EYE CARE OF MINNESOTA SC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-10-11",
        "last_updated": "2020-05-11",
        "certification_date": "2020-05-11",
        "status": "A",
        "authorized_official_last_name": "VUKICH",
        "authorized_official_first_name": "JOHN",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "608-220-7767",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Ophthalmology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Sean Patrick Stoy, MD
• Amanda Rae Stram, M.D.
• Kimberly Stransky
• Monica Strohbeck, CRNA
• Craig Paul Strom, CRNA, MS
• Emily Anne Sundell, COTA
• Julia Suparat
• Cheryl Swenson
• Griffin Swenson, DDS
• Angela Szumowski, A.T.C.

• Ophthalmology Physician in Robbinsdale, MN
• Providers in Robbinsdale, MN by specialty
• Ophthalmology Physician in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 11, 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.