Organization Active NPI

Ahmann Eyecare PLLC

Doing business as Optical Outlook

  • Optometrist
  • Minot, ND
National Provider Identifier
1275919151
Registry record updated Nov 27, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
ND663 Issued in ND
Legal business name
AHMANN EYECARE PLLC
Doing business as
Optical Outlook
Practice address
1100 31St Ave SW Ste 2
Minot, ND 58701-2007
Phone
(701) 837-0022
NPI assigned
Aug 3, 2015
Last updated
Nov 27, 2023By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 27, 2023

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

Authorized official

Name
Dr. Jessica Ahmann, ODNPI 1477709459
Title
Optometrist/Owner
Phone
(701) 837-0022

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
Optometrist 152W00000X ND663 ND Primary

Addresses

Primary practice location

1100 31St Ave SW Ste 2
Minot, ND 58701-2007

Mailing address

1100 31St Ave SW Ste 2
Minot, ND 58701-2007
Phone (701) 837-0022

Other names 1

  • Optical Outlook Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in ND2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20150916002845 ND Part B Supplier - Clinic/Group Practice 4385951722 Receives reassigned benefits from 1 practitioner
Practice locations: Minot, ND
O20220602000271 ND DME Supplier - Physician - Optometrist 4385951722 Practice locations: Minot, ND

National Provider Directory

National Provider Directory

Locations

1100 31st Ave SW
Ste 2
Minot, ND 58701
Phone (701) 373-5887

1400 S Broadway
Minot, ND 58701

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1438560000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1701043200000",
    "number": "1275919151",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1100 31ST AVE SW STE 2",
            "city": "MINOT",
            "state": "ND",
            "postal_code": "587012007",
            "telephone_number": "701-837-0022"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1100 31ST AVE SW STE 2",
            "city": "MINOT",
            "state": "ND",
            "postal_code": "587012007",
            "telephone_number": "701-837-0022"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AHMANN EYECARE PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-08-03",
        "last_updated": "2023-11-27",
        "certification_date": "2023-11-27",
        "status": "A",
        "authorized_official_last_name": "AHMANN",
        "authorized_official_first_name": "JESSICA",
        "authorized_official_title_or_position": "OPTOMETRIST/OWNER",
        "authorized_official_telephone_number": "701-837-0022",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "OD"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "ND",
            "license": "ND663",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Optical Outlook",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Minot, ND

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 27, 2023; 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.