Mankato Optical Inc

Primary specialty

Technician/TechnologistTaxonomy code 156F00000X

Legal business name

MANKATO OPTICAL INC

Practice address

1400 Madison Ave
Suite 338
Mankato, MN 56001

Phone

(507) 387-6695

Fax

(507) 387-6696

NPI assigned

Oct 19, 2006

Organization subpart

Yes

Parent organization

MANKATO OPTICAL INC DBA EYE Q VISIONAs reported in NPPES

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

Authorized official

Name

Christine L Giesler

Title

Cfo

Phone

(507) 387-6695

Specialties & licenses 2

Addresses

Other identifiers 1

Other names 1

• Eye Q Vision Doing business as

Part of

Mankato Optical Inc

Locations

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

• Laura Coudron, OD

  • Optometrist
  • Mankato, MN
  • NPI 1790149003
  NPD (past)
• Timothy Nelson, OD

  • Optometrist
  • Maple Grove, MN
  • NPI 1215091616
  NPD (past)

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

{
    "created_epoch": "1161216000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1217808000000",
    "number": "1346322609",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1400 MADISON AVE",
            "address_2": "SUITE 338",
            "city": "MANKATO",
            "state": "MN",
            "postal_code": "56001",
            "telephone_number": "507-387-6695",
            "fax_number": "507-387-6696"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1400 MADISON AVE",
            "address_2": "SUITE 338",
            "city": "MANKATO",
            "state": "MN",
            "postal_code": "56001",
            "telephone_number": "507-387-6695",
            "fax_number": "507-387-6696"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MANKATO OPTICAL INC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "MANKATO OPTICAL INC DBA EYE Q VISION",
        "enumeration_date": "2006-10-19",
        "last_updated": "2008-08-04",
        "status": "A",
        "authorized_official_last_name": "GIESLER",
        "authorized_official_first_name": "CHRISTINE",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "CFO",
        "authorized_official_telephone_number": "507-387-6695"
    },
    "taxonomies": [
        {
            "code": "156F00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Technician/Technologist",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "332H00000X",
            "taxonomy_group": "",
            "desc": "Eyewear Supplier",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "630938100",
            "state": "MN"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Eye Q Vision",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Mankato Institute of Wellness
• Mankato Institute of Wellness
• Mankato Marriage and Family Therapy Center PLC
• Mankato Mental Health Associates, PA
• Mankato Ops LLC
• Mankato Psychology Clinic, PLC
• Mankato Rehabilitation Center, Inc.
• Mankato Surgical Center, L.L.C.
• Mankato TMS PLLC
• Mankato Vision Center LLC

• All providers in Mankato, MN
• Technician/Technologist in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 4, 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.