Thomas N Lorentzsen & Stanton L Andrist PTR

Primary specialty

OptometristTaxonomy code 152W00000X

Legal business name

THOMAS N LORENTZSEN & STANTON L ANDRIST PTR

Doing business as

Moorhead Vision Associates

Practice address

420 Center Ave
Suite 41
Moorhead, MN 56560

Phone

(218) 233-1624

Fax

(218) 233-2058

NPI assigned

Oct 5, 2006

Last updated

Jan 3, 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

Lynn M Iverson

Title

Claims Supervisor

Phone

(218) 233-1624

Specialties & licenses 1

Addresses

Other identifiers 4

Other names 1

• Moorhead Vision Associates Doing business as

Practitioners 4

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.

• Stanton L Andrist, OD

  • Optometrist
  • Moorhead, MN
  • NPI 1336133586
  NPD (past)
• Casey Clay Bartz, O.D.

  • Optometrist
  • Moorhead, MN
  • NPI 1447480520
  NPD (past)
• Thomas N Lorentzsen, OD

  • Optometrist
  • Moorhead, MN
  • NPI 1083608228
  NPD (past)
• Patrick Alexander Williamson, O.D.

  • Optometrist
  • Moorhead, MN
  • NPI 1750737979
  NPD (past)

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

{
    "created_epoch": "1160006400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1199318400000",
    "number": "1336235449",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "420 CENTER AVE",
            "address_2": "SUITE 41",
            "city": "MOORHEAD",
            "state": "MN",
            "postal_code": "56560"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "420 CENTER AVE",
            "address_2": "SUITE 41",
            "city": "MOORHEAD",
            "state": "MN",
            "postal_code": "56560",
            "telephone_number": "218-233-1624",
            "fax_number": "218-233-2058"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THOMAS N LORENTZSEN & STANTON L ANDRIST PTR",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-05",
        "last_updated": "2008-01-03",
        "status": "A",
        "authorized_official_last_name": "IVERSON",
        "authorized_official_first_name": "LYNN",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "CLAIMS SUPERVISOR",
        "authorized_official_telephone_number": "218-233-1624"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RR MEDICARE PIN",
            "identifier": "DG1558",
            "state": "MN"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "281311400",
            "state": "MN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RR MEDICARE PIN",
            "identifier": "DB3751",
            "state": "ND"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS PIN",
            "identifier": "61093",
            "state": "MN"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Moorhead Vision Associates",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 3, 2008; 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.