Sirius Vision Optometry PC

Primary specialty

OptometristTaxonomy code 152W00000X

License

MN2093 Issued in MN

Legal business name

SIRIUS VISION OPTOMETRY PC

Practice address

1063 Burnsville Ctr
Burnsville, MN 55306-4447

Phone

(952) 435-8821

Fax

(952) 435-8821

NPI assigned

Jun 14, 2013

Organization subpart

No

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

Authorized official

Name

Dr. Patrick John Martin, O.D.NPI 1356437065

Title

Owner/Optometrist

Phone

(952) 435-8821

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in MN

Enrollment records 1

Practitioners 3

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

• Patrick J Martin

  • Optometrist
  • Burnsville, MN
  • NPI 1356437065
  Medicare reassignment Authorized official
• Daniel P Clare, OD

  • Optometrist
  • Burnsville, MN
  • NPI 1831162098
  Medicare reassignment NPD
• Toni J Scheper, OD

  • Optometrist
  • Burnsville, MN
  • NPI 1366429797
  NPD

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

{
    "created_epoch": "1371168000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1532995200000",
    "number": "1336588177",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1063 BURNSVILLE CTR",
            "city": "BURNSVILLE",
            "state": "MN",
            "postal_code": "553064447",
            "telephone_number": "952-435-8821"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1063 BURNSVILLE CTR",
            "city": "BURNSVILLE",
            "state": "MN",
            "postal_code": "553064447",
            "telephone_number": "952-435-8821",
            "fax_number": "952-435-8821"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SIRIUS VISION OPTOMETRY PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-06-14",
        "last_updated": "2018-07-31",
        "status": "A",
        "authorized_official_last_name": "MARTIN",
        "authorized_official_first_name": "PATRICK",
        "authorized_official_middle_name": "JOHN",
        "authorized_official_title_or_position": "OWNER/OPTOMETRIST",
        "authorized_official_telephone_number": "952-435-8821",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "O.D."
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": "MN",
            "license": "MN2093",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Simply Reclaimed LLC
• Jasmin Simpson
• Sincere Care Inc.
• Avina Kapoor Singh, M.D.
• Sirius Vision Optical Inc (Pearle Vision)
• Kellie Sisk
• Jenna Katherine Skaggs
• John Skalitzky
• David A Skansberg, PT
• Skin Care Doctors, P.a.

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 31, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.