Organization Active NPI

Total Vision Eyecare, PLLC

  • Optometrist
  • Rochester, MN
National Provider Identifier
1316588700
Registry record updated Oct 7, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
Legal business name
TOTAL VISION EYECARE, PLLC
Practice address
1630 Center St W
Rochester, MN 55902-0346
Phone
(570) 218-9357
NPI assigned
Oct 7, 2019
Last updated
Oct 7, 2019By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 7, 2019

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

Authorized official

Name
Lawrence Edward Addison II, ODNPI 1760794697
Title
Owner
Phone
(570) 218-9357

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 Primary

Addresses

Primary practice location

1630 Center St W
Rochester, MN 55902-0346

Mailing address

6449 Summit Pointe Rd NW
Rochester, MN 55901-5657
Phone (570) 218-9357

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MN

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20191118000229 MN Part B Supplier - Clinic/Group Practice 6002248812 Receives reassigned benefits from 2 practitioners
Practice locations: Rochester, MN

National Provider Directory

National Provider Directory

Locations

1630 Center St W
Rochester, MN 55902
Phone (507) 218-9357

Practitioners & affiliated clinicians

Practitioners 3

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": "1570406400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1570406400000",
    "number": "1316588700",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6449 SUMMIT POINTE RD NW",
            "city": "ROCHESTER",
            "state": "MN",
            "postal_code": "559015657",
            "telephone_number": "570-218-9357"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1630 CENTER ST W",
            "city": "ROCHESTER",
            "state": "MN",
            "postal_code": "559020346",
            "telephone_number": "570-218-9357"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TOTAL VISION EYECARE, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-10-07",
        "last_updated": "2019-10-07",
        "status": "A",
        "authorized_official_last_name": "ADDISON",
        "authorized_official_first_name": "LAWRENCE",
        "authorized_official_middle_name": "EDWARD",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "570-218-9357",
        "authorized_official_name_suffix": "II",
        "authorized_official_credential": "OD"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Rochester, MN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 7, 2019; 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.