Organization Active NPI

JN Optics, LLC

  • Optician
  • Minneapolis, MN
National Provider Identifier
1356789440
Registry record updated Aug 29, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
OpticianTaxonomy code 156FX1800X
Legal business name
JN OPTICS, LLC
Practice address
1411 4TH St SE
Minneapolis, MN 55414-2001
Phone
(612) 331-7100
Fax
(612) 455-6733
NPI assigned
Jun 11, 2013
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 29, 2025

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

Authorized official

Name
Jason Donald Davis
Title
Owner
Phone
(612) 331-7100

Specialties & licenses 1

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

Addresses

Primary practice location

1411 4TH St SE
Minneapolis, MN 55414-2001

Mailing address

1411 4TH St SE
Minneapolis, MN 55414-2001
Phone (612) 331-7100

Other identifiers 1

IdentifierTypeStateIssuer
177627000MedicaidMN

Other names 1

  • Dinkytown Optical Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MN

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20140103000004 MN Part B Supplier - Clinic/Group Practice 5193953867 Receives reassigned benefits from 1 practitioner
1 other NPI on this enrollment
Practice locations: Minneapolis, MN; Roseville, MN

Other NPIs on the same Medicare enrollment 1

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

National Provider Directory

National Provider Directory
Tax ID family
Dinkytown Optical2 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.

Locations

1411 4th St SE
Minneapolis, MN 55414
Phone (612) 331-7100

Practitioners & affiliated clinicians

Practitioners 1

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": "1370908800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1756425600000",
    "number": "1356789440",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1411 4TH ST SE",
            "city": "MINNEAPOLIS",
            "state": "MN",
            "postal_code": "554142001",
            "telephone_number": "612-331-7100",
            "fax_number": "612-455-6733"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1411 4TH ST SE",
            "city": "MINNEAPOLIS",
            "state": "MN",
            "postal_code": "554142001",
            "telephone_number": "612-331-7100",
            "fax_number": "612-455-6733"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JN OPTICS, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-06-11",
        "last_updated": "2025-08-29",
        "certification_date": "2025-08-29",
        "status": "A",
        "authorized_official_last_name": "DAVIS",
        "authorized_official_first_name": "JASON",
        "authorized_official_middle_name": "DONALD",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "612-331-7100"
    },
    "taxonomies": [
        {
            "code": "156FX1800X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Technician/Technologist, Optician",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "177627000",
            "state": "MN"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Dinkytown Optical",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Minneapolis, MN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 29, 2025; 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.