Awad Eye Care, LLC

Primary specialty

Ophthalmic Technician/TechnologistTaxonomy code 156FX1100X

License

44159 Issued in MN

Legal business name

AWAD EYE CARE, LLC

Practice address

1347 Larpenteur Ave W
Roseville, MN 55113-6302

Phone

(651) 558-2020

Fax

(651) 641-1702

NPI assigned

Apr 18, 2006

Organization subpart

No

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

Authorized official

Name

Dr. Omar Awad, M.D.

Title

President

Phone

(651) 558-2020

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

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

{
    "created_epoch": "1145318400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1358899200000",
    "number": "1366407991",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1347 LARPENTEUR AVE W",
            "city": "ROSEVILLE",
            "state": "MN",
            "postal_code": "551136302",
            "telephone_number": "651-558-2020",
            "fax_number": "651-641-1702"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1347 LARPENTEUR AVE W",
            "city": "ROSEVILLE",
            "state": "MN",
            "postal_code": "551136302",
            "telephone_number": "651-558-2020",
            "fax_number": "651-641-1702"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AWAD EYE CARE, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-04-18",
        "last_updated": "2013-01-23",
        "status": "A",
        "authorized_official_last_name": "AWAD",
        "authorized_official_first_name": "OMAR",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "651-558-2020",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "156FX1100X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Technician/Technologist, Ophthalmic",
            "state": "MN",
            "license": "44159",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "DB9517",
            "state": "MN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Ophthalmic Technician/Technologist in Roseville, MN
• Providers in Roseville, MN by specialty
• Ophthalmic Technician/Technologist in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 23, 2013; 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.