Optometry 2000 Vision Care Inc

Primary specialty

OptometristTaxonomy code 152W00000X

License

MN2082 Issued in MN

Legal business name

OPTOMETRY 2000 VISION CARE INC

Doing business as

Albany Eye Clinic

Practice address

471 Railroad Ave
Albany, MN 56307-9458

Phone

(320) 845-4747

Fax

(320) 845-4885

NPI assigned

Aug 31, 2006

Last updated

Oct 16, 2008By 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

Dr. Ricky Francis Groetsch, O.D.NPI 1366456014

Title

Optometrist

Phone

(320) 845-4747

Specialties & licenses 1

Addresses

Other identifiers 8

Other names 1

• ALBANY EYE CLINIC Doing business as

Medicare fee-for-service enrollment

Enrolled in MN2 enrollments

Enrollment records 2

Other NPIs with the same Medicare PAC ID 1

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

• Optometry 2000 Vision Care, Inc

  dba Melrose Eye Clinic

  • Optometrist
  • Melrose, MN
  • NPI 1497859813

  2163461807

  Same PAC ID

Other NPIs on the same Medicare enrollment 1

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

• Optometry 2000 Vision Care, Inc

  dba Melrose Eye Clinic

  • Optometrist
  • Melrose, MN
  • NPI 1497859813

  O20071107000350

  Same enrollment

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

Tax ID family

Albany Eye Clinic2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• Optometry 2000 Vision Care, Inc

  dba Melrose Eye Clinic

  • Optometrist
  • Melrose, MN
  • NPI 1497859813
  NPD tax ID

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.

• Ricky Francis Groetsch, OD

  • Optometrist
  • Melrose, MN
  • NPI 1366456014
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1156982400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1224115200000",
    "number": "1326159476",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "471 RAILROAD AVE",
            "city": "ALBANY",
            "state": "MN",
            "postal_code": "563079458",
            "telephone_number": "320-845-4747",
            "fax_number": "320-845-4885"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "471 RAILROAD AVE",
            "city": "ALBANY",
            "state": "MN",
            "postal_code": "563079458",
            "telephone_number": "320-845-4747",
            "fax_number": "320-845-4885"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OPTOMETRY 2000 VISION CARE INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-31",
        "last_updated": "2008-10-16",
        "status": "A",
        "authorized_official_last_name": "GROETSCH",
        "authorized_official_first_name": "RICKY",
        "authorized_official_middle_name": "FRANCIS",
        "authorized_official_title_or_position": "OPTOMETRIST",
        "authorized_official_telephone_number": "320-845-4747",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "O.D."
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "MN",
            "license": "MN2082",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UCARE PROV. NUMBER",
            "identifier": "115186",
            "state": "MN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE PLUS MATERIAL PROV.",
            "identifier": "5C705GR",
            "state": "MN"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "380225600",
            "state": "MN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE PROV.",
            "identifier": "410031767",
            "state": "MN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HEALTHPARTNERS PROV. NUM",
            "identifier": "47576",
            "state": "MN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PREFERRED ONE PROV. NUM",
            "identifier": "1006663",
            "state": "MN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICA MATERIALS PROV. NU",
            "identifier": "21-00018",
            "state": "MN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "EYEMED PROV. NUMBER",
            "identifier": "MN2082",
            "state": "MN"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "ALBANY EYE CLINIC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Heidi Madden, APRN, CNP
• Mother of Mercy (Mother of Mercy Senior Living)
• Brittany Nagel, DO
• Ruthie Kay Neff, OTD
• Stephanie Ann Olson, FNP-BC
• Easton Jay Popma, PA-C
• Megan Raiber
• Robert C. Schwegler, DDS PA
• Mark Rosenberger
• Michael Ronald Schmidt, PT

• Optometrist in Albany, MN
• Providers in Albany, MN by specialty
• Optometrist in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 16, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• 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.