Capital Family Eye Clinic LLC

Primary specialty

OptometristTaxonomy code 152W00000X

License

3001 Issued in MN

Legal business name

CAPITAL FAMILY EYE CLINIC LLC

Practice address

941 Payne Ave
Saint Paul, MN 55130-4003

Phone

(608) 738-5755

NPI assigned

Mar 10, 2008

Organization subpart

No

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

Authorized official

Name

SE Cecelia Xiong, O.D.NPI 1184731432

Title

President

Phone

(608) 738-5755

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in MN

Enrollment records 1

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• SE Cecelia Xiong, O.D.

  • Optometrist
  • Saint Paul, MN
  • NPI 1184731432
  Medicare reassignment Authorized official

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

{
    "created_epoch": "1205107200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1215388800000",
    "number": "1376713966",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6332 HIGHLAND HILLS BLVD S",
            "city": "COTTAGE GROVE",
            "state": "MN",
            "postal_code": "550164478",
            "telephone_number": "608-738-5755"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "941 PAYNE AVE",
            "city": "SAINT PAUL",
            "state": "MN",
            "postal_code": "551304003",
            "telephone_number": "608-738-5755"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CAPITAL FAMILY EYE CLINIC LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-03-10",
        "last_updated": "2008-07-07",
        "status": "A",
        "authorized_official_last_name": "XIONG",
        "authorized_official_first_name": "SE",
        "authorized_official_middle_name": "CECELIA",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "608-738-5755",
        "authorized_official_credential": "O.D."
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": "MN",
            "license": "3001",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Ruihan Cao
• Joesph G Capecchi
• Lisa R Capell, M.D.
• Ethan Hedges Capers, PT
• Capital Care Services
• Capital Solutions Co.
• Capitol Chiropractic & Rehab, PC
• Capitol Chiropractic & Rehab., PC
• Capitol Dental Center PLC
• Capitol Health & Injury Center, P.a.

• Optometrist in Saint Paul, MN
• Providers in Saint Paul, MN by specialty
• Optometrist in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 7, 2008; 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.