NPIMap

Organization Active NPI

Midwest Vision Centers Inc

  • Optician
  • Virginia, MN
National Provider Identifier
1336352475
Registry record updated Nov 10, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
OpticianTaxonomy code 156FX1800X
Legal business name
MIDWEST VISION CENTERS INC
Doing business as
MIDWEST VISION CENTERS
Practice address
1416 S 12TH Ave
Virginia, MN 55792-3247
Phone
(218) 749-1200
NPI assigned
May 7, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 10, 2021

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

Authorized official

Name
Mrs. Carin Marie Evans
Title
Director of Operations
Phone
(888) 466-5777

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
OpticianGroup: 193400000X SINGLE SPECIALTY GROUP 156FX1800X Primary

Addresses

Primary practice location

1416 S 12TH Ave
Virginia, MN 55792-3247

Mailing address

PO Box 456
Saint Cloud, MN 56302-0456
Phone (888) 466-5777

Other identifiers 5

IdentifierTypeStateIssuer
131376OtherMNHEALTH PARTNERS
185691OtherMNUCARE
203947000MedicaidMN
041N7MIOtherMNBLUE CROSS BLUE SHIELD MN
2100779OtherMNMEDICA

Other names 1

  • MIDWEST VISION CENTERS Doing business as

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 8

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": "1178496000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1636502400000",
    "number": "1336352475",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 456",
            "city": "SAINT CLOUD",
            "state": "MN",
            "postal_code": "563020456",
            "telephone_number": "888-466-5777",
            "fax_number": "320-258-3136"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1416 S 12TH AVE",
            "city": "VIRGINIA",
            "state": "MN",
            "postal_code": "557923247",
            "telephone_number": "218-749-1200"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MIDWEST VISION CENTERS INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-07",
        "last_updated": "2021-11-10",
        "certification_date": "2021-11-10",
        "status": "A",
        "authorized_official_last_name": "EVANS",
        "authorized_official_first_name": "CARIN",
        "authorized_official_middle_name": "MARIE",
        "authorized_official_title_or_position": "DIRECTOR OF OPERATIONS",
        "authorized_official_telephone_number": "888-466-5777",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "156FX1800X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Technician/Technologist, Optician",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HEALTH PARTNERS",
            "identifier": "131376",
            "state": "MN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UCARE",
            "identifier": "185691",
            "state": "MN"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "203947000",
            "state": "MN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD MN",
            "identifier": "041N7MI",
            "state": "MN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICA",
            "identifier": "2100779",
            "state": "MN"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "MIDWEST VISION CENTERS",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "MIDWEST VISION CENTERS",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Virginia, MN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 10, 2021; 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.