Patricia Louise Osborne

Primary specialty

OpticianTaxonomy code 156FX1800X

License

149254 Issued in VA

Practice address

3989 Central Ave NE
Suite 200F
Columbia Heights, MN 55421-3900

Phone

(651) 331-0617

Fax

(612) 287-9625

NPI assigned

Mar 11, 2007

Last updated

Jul 8, 2007By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1173571200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1326170895",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5245 VINCENT AVE N",
            "city": "MINNEAPOLIS",
            "state": "MN",
            "postal_code": "554303318",
            "telephone_number": "612-287-9625",
            "fax_number": "612-287-9625"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3989 CENTRAL AVE NE",
            "address_2": "SUITE 200F",
            "city": "COLUMBIA HEIGHTS",
            "state": "MN",
            "postal_code": "554213900",
            "telephone_number": "651-331-0617",
            "fax_number": "612-287-9625"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "OSBORNE",
        "first_name": "PATRICIA",
        "middle_name": "LOUISE",
        "name_prefix": "Mrs.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-03-11",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "156FX1800X",
            "taxonomy_group": "",
            "desc": "Technician/Technologist, Optician",
            "state": "VA",
            "license": "149254",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Optician in Columbia Heights, MN
• Providers in Columbia Heights, MN by specialty
• Optician in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 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.