North Suburban Optical

Primary specialty

Eyewear SupplierTaxonomy code 332H00000X

Legal business name

NORTH SUBURBAN OPTICAL

Practice address

4520 Centerville Rd
Saint Paul, MN 55127-3602

Phone

(763) 421-7420

NPI assigned

Jun 14, 2016

Organization subpart

No

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

Authorized official

Name

Delta Jorgensen

Title

Organizational Liaison

Phone

(763) 592-8413

Specialties & licenses 1

Addresses

Other names 1

• Optical Studios Doing business as

Locations

Practitioners 1

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

• Gunnar Jon Erickson, M.D.

  • Ophthalmology Physician
  • Wyoming, MN
  • NPI 1528061371
  NPD (past)

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

{
    "created_epoch": "1465862400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1541721600000",
    "number": "1285084954",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3777 COON RAPIDS BLVD NW",
            "address_2": "STE 100",
            "city": "COON RAPIDS",
            "state": "MN",
            "postal_code": "554332630",
            "telephone_number": "763-421-7420"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4520 CENTERVILLE RD",
            "city": "SAINT PAUL",
            "state": "MN",
            "postal_code": "551273602",
            "telephone_number": "763-421-7420"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NORTH SUBURBAN OPTICAL",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-06-14",
        "last_updated": "2018-11-09",
        "status": "A",
        "authorized_official_last_name": "JORGENSEN",
        "authorized_official_first_name": "DELTA",
        "authorized_official_title_or_position": "ORGANIZATIONAL LIAISON",
        "authorized_official_telephone_number": "763-592-8413"
    },
    "taxonomies": [
        {
            "code": "332H00000X",
            "taxonomy_group": "",
            "desc": "Eyewear Supplier",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Optical Studios",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Optical Studios",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• North Home Health Care
• North Point Health &Wellness Center
• North St Paul Chiropractic Office, P.a.
• North Star Counseling & Mediation Services PSC
• North Star Health Alliance, LLC
• Northeast Dental, P.a.
• Northern Medical Supply Co.
• Northern Stars Home Care LLC
• Northland Dental Partners, PLLC
• Northland Dental Partners, PLLC

• All providers in Saint Paul, MN
• Eyewear Supplier in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 9, 2018; 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.