Midwest Vision Centers Inc

Primary specialty

OpticianTaxonomy code 156FX1800X

Legal business name

MIDWEST VISION CENTERS INC

Doing business as

Midwest Vision Centers

Practice address

211 Labree Ave N
Thief River Falls, MN 56701-2034

Phone

(218) 681-5606

Fax

(218) 681-5609

NPI assigned

Nov 15, 2006

Last updated

Nov 10, 2021By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mrs. Carin Marie Evans

Title

Director of Operations

Phone

(888) 466-5777

Specialties & licenses 1

Addresses

Other identifiers 6

Other names 1

• MIDWEST VISION CENTERS Doing business as

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

{
    "created_epoch": "1163548800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1636502400000",
    "number": "1306918024",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 456",
            "city": "SAINT CLOUD",
            "state": "MN",
            "postal_code": "563020456",
            "telephone_number": "888-466-5777",
            "fax_number": "320-258-3136"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "211 LABREE AVE N",
            "city": "THIEF RIVER FALLS",
            "state": "MN",
            "postal_code": "567012034",
            "telephone_number": "218-681-5606",
            "fax_number": "218-681-5609"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MIDWEST VISION CENTERS INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-15",
        "last_updated": "2021-11-10",
        "certification_date": "2021-11-10",
        "status": "A",
        "authorized_official_last_name": "EVANS",
        "authorized_official_first_name": "CARIN",
        "authorized_official_middle_name": "MARIE",
        "authorized_official_title_or_position": "DIRECTOR OF OPERATIONS",
        "authorized_official_telephone_number": "888-466-5777",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "156FX1800X",
            "taxonomy_group": "",
            "desc": "Technician/Technologist, Optician",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICA",
            "identifier": "2100327",
            "state": "MN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "281R4MI",
            "state": "MN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PREFERRED ONE",
            "identifier": "23180",
            "state": "MN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HEALTH PARTNERS",
            "identifier": "98420",
            "state": "MN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UCARE",
            "identifier": "163963",
            "state": "MN"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "801921500",
            "state": "MN"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "MIDWEST VISION CENTERS",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "MIDWEST VISION CENTERS",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Optician in Thief River Falls, MN
• Providers in Thief River Falls, MN by specialty
• Optician in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 10, 2021; 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.