NPIMap

Organization Active NPI

Eye Clinic North, Professional Association

  • Optometrist
  • Hibbing, MN
National Provider Identifier
1326591603
Registry record updated Aug 3, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
Legal business name
EYE CLINIC NORTH, PROFESSIONAL ASSOCIATION
Practice address
2016 1St Ave
Hibbing, MN 55746-1728
Phone
(218) 263-3633
Fax
(218) 263-3634
NPI assigned
Aug 3, 2016
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 3, 2016

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

Authorized official

Name
Matthew John Sipola, O.D.NPI 1669819439
Title
Owner
Phone
(218) 741-5886

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
OptometristGroup: 193400000X SINGLE SPECIALTY GROUP 152W00000X Primary

Addresses

Primary practice location

2016 1St Ave
Hibbing, MN 55746-1728

Mailing address

413 Chestnut St
Virginia, MN 55792-2525
Phone (218) 741-5886

National Provider Directory

National Provider Directory

Locations

405 N 57th Ave W
Duluth, MN 55807
Phone (218) 624-1804

1330 E 1st St
Duluth, MN 55805
Phone (218) 724-5050

Practitioners & affiliated clinicians

Practitioners 4

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1470182400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1470182400000",
    "number": "1326591603",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "413 CHESTNUT ST",
            "city": "VIRGINIA",
            "state": "MN",
            "postal_code": "557922525",
            "telephone_number": "218-741-5886",
            "fax_number": "218-741-5894"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2016 1ST AVE",
            "city": "HIBBING",
            "state": "MN",
            "postal_code": "557461728",
            "telephone_number": "218-263-3633",
            "fax_number": "218-263-3634"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EYE CLINIC NORTH, PROFESSIONAL ASSOCIATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-08-03",
        "last_updated": "2016-08-03",
        "status": "A",
        "authorized_official_last_name": "SIPOLA",
        "authorized_official_first_name": "MATTHEW",
        "authorized_official_middle_name": "JOHN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "218-741-5886",
        "authorized_official_credential": "O.D."
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hibbing, MN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 3, 2016; 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.