Centrasota Eye Care, Inc

Primary specialty

Eyewear SupplierTaxonomy code 332H00000X

Legal business name

CENTRASOTA EYE CARE, INC

Doing business as

Centrasota Eye Care & Laser Surgery

Practice address

3950 Veterans Dr
Suite 103
Saint Cloud, MN 56303-3410

Phone

(320) 258-2020

Fax

(320) 258-3181

NPI assigned

Sep 19, 2007

Last updated

Sep 19, 2007By 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

Ms. Vicky Lynn Tamblyn

Title

Manager

Phone

(320) 258-2020

Specialties & licenses 2

Addresses

Other names 1

• Centrasota Eye Care & Laser Surgery 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, and the practitioner matching its NPPES authorized official.

• Emily Suzanne Dold Schwartz, O.D.

  • Optometrist
  • Saint Cloud, MN
  • NPI 1790857472
  NPD (past)

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

{
    "created_epoch": "1190160000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1190160000000",
    "number": "1316133762",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3950 VETERANS DR",
            "address_2": "SUITE 103",
            "city": "SAINT CLOUD",
            "state": "MN",
            "postal_code": "563033410",
            "telephone_number": "320-258-2020",
            "fax_number": "320-258-3181"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3950 VETERANS DR",
            "address_2": "SUITE 103",
            "city": "SAINT CLOUD",
            "state": "MN",
            "postal_code": "563033410",
            "telephone_number": "320-258-2020",
            "fax_number": "320-258-3181"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CENTRASOTA EYE CARE, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-09-19",
        "last_updated": "2007-09-19",
        "status": "A",
        "authorized_official_last_name": "TAMBLYN",
        "authorized_official_first_name": "VICKY",
        "authorized_official_middle_name": "LYNN",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "320-258-2020",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "332H00000X",
            "taxonomy_group": "",
            "desc": "Eyewear Supplier",
            "state": "NU",
            "license": null,
            "primary": true
        },
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Centrasota Eye Care & Laser Surgery",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Central Minnesota Neurosciences LTD
• Central Minnesota Orthodontica
• Central Minnesota Orthodontics
• Central Minnesota Solutions
• Central MN Pediatric Dentists PA
• Centrasota Oral & Maxillofacial Surgeons, P.a.
• Maxwell Taylor Cerny
• Kristine M Cervin, PHARMD
• Lily Faith Chamerski
• Richard J Chandler, RPP, CA, LMT

• Eyewear Supplier in Saint Cloud, MN
• Providers in Saint Cloud, MN by specialty
• Eyewear Supplier in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 19, 2007; 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.