Joshua Landon Mackner, OD

Primary specialty

OptometristTaxonomy code 152W00000X

License

3747 Issued in MN

Practice address

1727 Beam Ave Ste D
Maplewood, MN 55109-1196

Phone

(952) 656-0051

NPI assigned

Jul 19, 2021

Last updated

Jul 19, 2021By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in MN

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: No
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Specialty

Optometry

Education

Other, 2021

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Visionary Eye Care PAGroup PAC ID 9032455936, 13 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Visionary Eye Care, PA

  dba Tommy Lee Elton

  • Optometrist
  • Excelsior, MN
  • NPI 1811430226
  Medicare reassignment Care Compare group NPD
• Minnesota Eyecare Network, Inc

  dba Azure Vision Care

  • Optometrist
  • Perham, MN
  • NPI 1407960651
  Medicare reassignment NPD
• National Vision, Inc.

  dba America's Best Contacts & Eyeglasses

  • Optician
  • Maplewood, MN
  • NPI 1619354156
  NPD (past)

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

{
    "created_epoch": "1626652800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1626652800000",
    "number": "1346813276",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "42005 FAWN OAKS EST",
            "city": "DENT",
            "state": "MN",
            "postal_code": "565289161",
            "telephone_number": "701-412-5319"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1727 BEAM AVE STE D",
            "city": "MAPLEWOOD",
            "state": "MN",
            "postal_code": "551091196",
            "telephone_number": "952-656-0051"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MACKNER",
        "first_name": "JOSHUA",
        "middle_name": "LANDON",
        "name_prefix": "Dr.",
        "credential": "OD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2021-07-19",
        "last_updated": "2021-07-19",
        "certification_date": "2021-07-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "MN",
            "license": "3747",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kristin Ruth Lundquist, DDS
• Luxottica Retail North America Inc (Pearle Vision #C6703)
• Jessica Victoria Lynch
• Tatiana Lyons, AUD
• Elise Vanett Mackenzie, P.T.
• Seema Maddali, MD
• Kayla Jean Madison
• Patricia Jean Madison, OTRL
• Zohreh Mahdavi, M.D.
• Megan Lauren Mahoney, PA

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 19, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.