Minnesota Vision Group PA

Primary specialty

Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X

Legal business name

MINNESOTA VISION GROUP PA

Doing business as

Insight Eye Care

Practice address

206 W Division St
Waite Park, MN 56387-1331

Phone

(320) 253-0365

Fax

(320) 253-9401

NPI assigned

Dec 19, 2006

Last updated

Oct 9, 2012By 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

Dr. Burt W Dubow, O.D.NPI 1407844822

Title

Owner

Phone

(320) 253-0365

Specialties & licenses 1

Addresses

Other identifiers 3

Other names 1

• Insight Eye Care Doing business as

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.

• Burt Dubow

  • Optometrist
  • Waite Park, MN
  • NPI 1407844822
  Authorized official Same address or phone

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

{
    "created_epoch": "1166486400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1349740800000",
    "number": "1366505323",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 7654",
            "city": "SAINT CLOUD",
            "state": "MN",
            "postal_code": "563027654",
            "telephone_number": "320-253-0365",
            "fax_number": "320-253-9401"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "206 W DIVISION ST",
            "city": "WAITE PARK",
            "state": "MN",
            "postal_code": "563871331",
            "telephone_number": "320-253-0365",
            "fax_number": "320-253-9401"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MINNESOTA VISION GROUP PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-12-19",
        "last_updated": "2012-10-09",
        "status": "A",
        "authorized_official_last_name": "DUBOW",
        "authorized_official_first_name": "BURT",
        "authorized_official_middle_name": "W",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "320-253-0365",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "O.D."
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "MN",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NATIONAL SUPPLIER CLEARINGHOUSE",
            "identifier": "0464710001",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "161524600",
            "state": "MN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "4C750MI",
            "state": "MN"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Insight Eye Care",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Owen Christopher Miller
• Rebecca Anne Miller, AGNP-C
• Andre Laroy Mills Jr.
• Minneapolis Senior Services (Home Instead Senior Care)
• Minnesota Vision Group PA (Insight Eye Care)
• Faviola Yaritza Miranda de Jesus
• MN Lakes Transportation, LLC
• Ashley Moen
• Abdikafi Mohamed
• Abdirahman Jamal Mohamed

• Durable Medical Equipment & Medical Supplies in Waite Park, MN
• Providers in Waite Park, MN by specialty
• Durable Medical Equipment & Medical Supplies in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 9, 2012; 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.