Eyewear Specialists Inc

Primary specialty

Eyewear SupplierTaxonomy code 332H00000X

License

4699580 Issued in MN

Legal business name

EYEWEAR SPECIALISTS INC

Practice address

209 Chalupsky Ave SE
New Prague, MN 56071-2448

Phone

(952) 758-7892

Fax

(952) 758-7894

NPI assigned

Nov 6, 2006

Organization subpart

No

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

Authorized official

Name

Ms. Cheryl Mayne

Title

RCM Manager

Phone

(952) 832-8100

Specialties & licenses 1

Addresses

Other identifiers 4

Practitioners 6

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

• Charles F Barer, M.D.

  • Ophthalmology Physician
  • Edina, MN
  • NPI 1386612364
  NPD (past)
• Lindsay Fitzgerald, DPT

  • Physical Therapist
  • Burnsville, MN
  • NPI 1164917936
  NPD (past)
• Briann Rae Jennissen, M.S., CCC-SLP

  • Speech-Language Pathologist
  • Burnsville, MN
  • NPI 1265825939
  NPD (past)
• Kirsten O'Rourke, OTR/L

  • Occupational Therapist
  • Burnsville, MN
  • NPI 1851827406
  NPD (past)
• Katherine Marie Sloan, M.A.

  • Speech-Language Pathologist
  • Burnsville, MN
  • NPI 1083905012
  NPD (past)
• Jeffrey J Stephens, M.D.

  • Ophthalmology Physician
  • Edina, MN
  • NPI 1508833138
  NPD (past)

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

{
    "created_epoch": "1162771200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1466035200000",
    "number": "1275612418",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7450 FRANCE AVE S",
            "address_2": "SUITE 100",
            "city": "EDINA",
            "state": "MN",
            "postal_code": "554354787",
            "telephone_number": "952-832-8120",
            "fax_number": "952-832-8124"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "209 CHALUPSKY AVE SE",
            "city": "NEW PRAGUE",
            "state": "MN",
            "postal_code": "560712448",
            "telephone_number": "952-758-7892",
            "fax_number": "952-758-7894"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EYEWEAR SPECIALISTS INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-06",
        "last_updated": "2016-06-16",
        "status": "A",
        "authorized_official_last_name": "MAYNE",
        "authorized_official_first_name": "CHERYL",
        "authorized_official_title_or_position": "RCM MANAGER",
        "authorized_official_telephone_number": "952-832-8100",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "332H00000X",
            "taxonomy_group": "",
            "desc": "Eyewear Supplier",
            "state": "MN",
            "license": "4699580",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UCARE",
            "identifier": "170631",
            "state": "MN"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1251147-00",
            "state": "MN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "51083CL",
            "state": "MN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICA",
            "identifier": "21-11723",
            "state": "MN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Gregory Raymond Dvorak, DDS
• Edina Eye Physicians and Surgeons PA
• Electromed, Inc.
• Emerald Bridge Wellness PLLC
• Kendra Everson
• Jeremy Faus
• Patricia Friedrich, OTR/L
• Renae Madison Gage, MD
• Kathleen J Garry, D.D.S.
• Heather L Giesen, D.C.

• Eyewear Supplier in New Prague, MN
• Providers in New Prague, MN by specialty
• Eyewear Supplier in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 16, 2016; 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.