Eyewear Specialists Inc

Primary specialty

Eyewear SupplierTaxonomy code 332H00000X

License

4699580 Issued in MN

Legal business name

EYEWEAR SPECIALISTS INC

Practice address

14050 Nicollet Ave
Suite 101
Burnsville, MN 55337-5710

Phone

(952) 898-6223

Fax

(952) 898-8832

NPI assigned

Nov 1, 2006

Organization subpart

No

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

Authorized official

Name

Ms. Cheryl Mayne

Title

RCM Manager

Phone

(952) 832-8100

Specialties & licenses 1

Addresses

Other identifiers 3

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

Medicare medical equipment & supply locations

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

{
    "created_epoch": "1162339200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1466035200000",
    "number": "1306923461",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7450 FRANCE AVE S",
            "address_2": "SUITE 100",
            "city": "EDINA",
            "state": "MN",
            "postal_code": "554354787",
            "telephone_number": "952-832-8120",
            "fax_number": "952-832-8124"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14050 NICOLLET AVE",
            "address_2": "SUITE 101",
            "city": "BURNSVILLE",
            "state": "MN",
            "postal_code": "553375710",
            "telephone_number": "952-898-6223",
            "fax_number": "952-898-8832"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EYEWEAR SPECIALISTS INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-01",
        "last_updated": "2016-06-16",
        "status": "A",
        "authorized_official_last_name": "MAYNE",
        "authorized_official_first_name": "CHERYL",
        "authorized_official_title_or_position": "RCM MANAGER",
        "authorized_official_telephone_number": "952-832-8100",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "332H00000X",
            "taxonomy_group": "",
            "desc": "Eyewear Supplier",
            "state": "MN",
            "license": "4699580",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0237019-00",
            "state": "MN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICA",
            "identifier": "21-12085",
            "state": "MN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "51083CL",
            "state": "MN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Ev Dental P.a
• Alexandria Evans
• Thomas Ford Everett, DDS
• Alyssa Rose Everson, PA-C
• Lenore I Everson, MD
• Diamond Ezeli
• Jessica Marie Fagan
• Brooke Martin Fahning, MD
• Fairview Clinics
• Fairview Clinics

• Eyewear Supplier in Burnsville, MN
• Providers in Burnsville, MN by specialty
• Eyewear Supplier in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 16, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.