Eyewear Concepts Inc

Primary specialty

OptometristTaxonomy code 152W00000X

Legal business name

EYEWEAR CONCEPTS INC

Practice address

448 21St St W Ste D1
Dickinson, ND 58602-0149

Phone

(701) 264-1177

Fax

(701) 225-8148

NPI assigned

Dec 28, 2005

Last updated

Aug 22, 2020By 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. Sherry A Andrus, ABOC

Title

Secretary of Corportation

Phone

(701) 264-1177

Specialties & licenses 1

Addresses

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.

• Melanie Kay Miller, O.D.

  • Optometrist
  • Dickinson, ND
  • NPI 1053310243
  NPD (past)

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

{
    "created_epoch": "1135728000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1326025602",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 149",
            "city": "DICKINSON",
            "state": "ND",
            "postal_code": "586020149",
            "telephone_number": "701-264-1177",
            "fax_number": "701-225-8148"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "448 21ST ST W STE D1",
            "city": "DICKINSON",
            "state": "ND",
            "postal_code": "586020149",
            "telephone_number": "701-264-1177",
            "fax_number": "701-225-8148"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EYEWEAR CONCEPTS INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-12-28",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "ANDRUS",
        "authorized_official_first_name": "SHERRY",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "SECRETARY OF CORPORTATION",
        "authorized_official_telephone_number": "701-264-1177",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "ABOC"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Erin Helen Erin Davidheiser
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• Linda A Everson, BA, BS
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• Merrill Fahlstrom, SLP
• Brooke Jade Fahsholtz, LCAC
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• Desiree Farrington

• Optometrist in Dickinson, ND
• Providers in Dickinson, ND by specialty
• Optometrist in North Dakota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.