Active NPI
JN Optics, LLC
- Optician
- Minneapolis, MN
National Provider Identifier
1356789440
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optician
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Optician | 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 177627000 | Medicaid | MN |
Other names 1
- Dinkytown Optical
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MN
Enrollment records 1
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 Optical
Other organizations with this tax ID 1
Organizations that report the same tax identification number in the National Provider Directory.
-
- Optician
- Roseville, MN
- NPI 1982590709
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.
-
- Optometrist
- Minneapolis, MN
- NPI 1396479267
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.