Jaj Eyewear Inc.

Primary specialty

OpticianTaxonomy code 156FX1800X

Legal business name

JAJ EYEWEAR INC.

Doing business as

Eyes of Mendota

Practice address

740 Main St
Suite 100
Mendota Heights, MN 55118-3762

Phone

(651) 686-9393

Fax

(651) 556-2568

NPI assigned

Jun 8, 2011

Organization subpart

No

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

Authorized official

Name

Melaina J Grover

Title

Owner

Phone

(651) 686-9393

Specialties & licenses 2

Addresses

Other names 1

• Eyes of Mendota Doing business as

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

{
    "created_epoch": "1307491200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1307491200000",
    "number": "1275827107",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "740 MAIN ST",
            "address_2": "SUITE 100",
            "city": "MENDOTA HEIGHTS",
            "state": "MN",
            "postal_code": "551183762",
            "telephone_number": "651-686-9393",
            "fax_number": "651-556-2568"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "740 MAIN ST",
            "address_2": "SUITE 100",
            "city": "MENDOTA HEIGHTS",
            "state": "MN",
            "postal_code": "551183762",
            "telephone_number": "651-686-9393",
            "fax_number": "651-556-2568"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JAJ EYEWEAR INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-06-08",
        "last_updated": "2011-06-08",
        "status": "A",
        "authorized_official_last_name": "GROVER",
        "authorized_official_first_name": "MELAINA",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "651-686-9393"
    },
    "taxonomies": [
        {
            "code": "156FC0801X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Technician/Technologist, Contact Lens Fitter",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "156FX1800X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Technician/Technologist, Optician",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Eyes of Mendota",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Amina Mohamed Ismail
• Samiya Abdisalan Isse
• Aazha'Rae Cimone Jackson
• Julie Jackson, LPCC
• Austin Jacobsen
• Ahlaam Abdirizak Jama
• Amino Abdirahman Jama
• Eyni Salad Jama
• Shukri M Jama
• Asiya Aliabdi Jirdde

• Optician in Mendota Heights, MN
• Providers in Mendota Heights, MN by specialty
• Optician in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 8, 2011; 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.