Organization Active NPI

Family Vision Clinic of Farmington

  • Optometrist
  • Farmington, MN
National Provider Identifier
1275725277
Registry record updated Aug 14, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
2777 Issued in MN
Legal business name
FAMILY VISION CLINIC OF FARMINGTON
Practice address
19650 Pilot Knob Road
Farmington, MN 55024
Phone
(952) 895-5434
Fax
(952) 895-5464
NPI assigned
Aug 14, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 14, 2007

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

Authorized official

Name
Dr. Stefanie Ann Hurst, O.D.NPI 1447275284
Title
Optometrist/Owner
Phone
(952) 895-5434

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
OptometristGroup: 193400000X SINGLE SPECIALTY GROUP 152W00000X 2777 MN Primary

Addresses

Primary practice location

19650 Pilot Knob Road
Farmington, MN 55024

Mailing address

PO Box 252
Farmington, MN 55024-0252
Phone (952) 895-5434

National Provider Directory

National Provider Directory

Locations

19645 Pilot Knob Rd
Farmington, MN 55024
Phone (651) 463-2300

19650 Pilot Knob Rd
Farmington, MN 55024
Phone (952) 895-5434

19645 Pilot Knob Rd
Ste 106
Farmington, MN 55024
Phone (651) 463-2020

Practitioners & affiliated clinicians

Practitioners 2

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

NPI Registry JSON

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

{
    "created_epoch": "1187049600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1187049600000",
    "number": "1275725277",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 252",
            "city": "FARMINGTON",
            "state": "MN",
            "postal_code": "550240252",
            "telephone_number": "952-895-5434",
            "fax_number": "952-895-5464"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "19650 PILOT KNOB ROAD",
            "city": "FARMINGTON",
            "state": "MN",
            "postal_code": "55024",
            "telephone_number": "952-895-5434",
            "fax_number": "952-895-5464"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FAMILY VISION CLINIC OF FARMINGTON",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-08-14",
        "last_updated": "2007-08-14",
        "status": "A",
        "authorized_official_last_name": "HURST",
        "authorized_official_first_name": "STEFANIE",
        "authorized_official_middle_name": "ANN",
        "authorized_official_title_or_position": "OPTOMETRIST/OWNER",
        "authorized_official_telephone_number": "952-895-5434",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "O.D."
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": "MN",
            "license": "2777",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Farmington, MN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 14, 2007; 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.