Midwest Eye Laboratories Sioux Falls, LLC

Primary specialty

Prosthetic/Orthotic SupplierTaxonomy code 335E00000X

Legal business name

MIDWEST EYE LABORATORIES SIOUX FALLS, LLC

Practice address

4357 13TH Ave S Ste 209
Fargo, ND 58103-7505

Phone

(855) 211-3937

Fax

(651) 412-5069

NPI assigned

Jul 10, 2012

Last updated

Jun 17, 2024By 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

Timothy BarrettNPI 1730307984

Title

President/Ocularist

Phone

(651) 739-4111

Specialties & licenses 1

Addresses

Tax ID family

Midwest Eye Laboratories Sioux Falls LLC2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• Midwest Eye Laboratories Sioux Falls LLC

  • Prosthetic/Orthotic Supplier
  • Sioux Falls, SD
  • NPI 1174838098
  NPD tax ID

Locations

Practitioners 1

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.

• Timothy J Barrett, B.C.O.

  • Ocularist
  • Woodbury, MN
  • NPI 1730307984
  NPD Authorized official

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

{
    "created_epoch": "1341878400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1718582400000",
    "number": "1356606974",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7582 CURRELL BLVD STE 109",
            "city": "WOODBURY",
            "state": "MN",
            "postal_code": "551258212",
            "telephone_number": "651-739-4111",
            "fax_number": "651-412-5069"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4357 13TH AVE S STE 209",
            "city": "FARGO",
            "state": "ND",
            "postal_code": "581037505",
            "telephone_number": "855-211-3937",
            "fax_number": "651-412-5069"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MIDWEST EYE LABORATORIES SIOUX FALLS, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-07-10",
        "last_updated": "2024-06-17",
        "certification_date": "2024-06-17",
        "status": "A",
        "authorized_official_last_name": "BARRETT",
        "authorized_official_first_name": "TIMOTHY",
        "authorized_official_title_or_position": "PRESIDENT/OCULARIST",
        "authorized_official_telephone_number": "651-739-4111"
    },
    "taxonomies": [
        {
            "code": "335E00000X",
            "taxonomy_group": "",
            "desc": "Prosthetic/Orthotic Supplier",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Andrea Jean Middlestead, NP-C
• Ashley Patricia Middleton Peterson, LCSW
• Midland Prohealth (CostCare Medical Store)
• Midwest Drug Distribution Inc (Midwest Pharmacy of Fargo)
• Midwest Drug Distribution Inc (Unit Pak)
• Midwest Hypnosis Clinics/NWCC
• Midwest Medical Equipment & Supplies, Inc (Essentia Health - Medical Equipment & Supplies)
• Midwest Mental Health Clinic PLLC (Midwest Mental Health)
• Midwest Mental Health Clinic PLLC
• Midwest Pest Control Inc.

• Prosthetic/Orthotic Supplier in Fargo, ND
• Providers in Fargo, ND by specialty
• Prosthetic/Orthotic Supplier in North Dakota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 17, 2024; 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.