Active NPI
Northway Eye & Contact Lens Center
- Optometrist
- Saint Cloud, MN
National Provider Identifier
1396814539
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- License
- 2909
- Legal business name
- NORTHWAY EYE & CONTACT LENS CENTER
- Practice address
- 1545 Northway Dr
Suite 120
Saint Cloud, MN 56303-1940 - Phone
- (320) 253-2441
- Fax
- (320) 253-2446
- NPI assigned
- Nov 6, 2006
- 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
- Natalie Mary Guggenberger
- Title
- Office Manager
- Phone
- (320) 253-2441
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Optometrist | 152W00000X | 1776 | MN | |
| Optometrist | 152W00000X | 2751 | MN | |
| Optometrist | 152W00000X | 2909 | MN | Primary |
Addresses
Primary practice location
1545 Northway Dr
Suite 120
Saint Cloud, MN 56303-1940
Mailing address
1545 Northway Dr
Suite 120
Saint Cloud, MN 56303-1940
Phone (320) 253-2441
National Provider Directory
National Provider DirectoryLocations
1545 Northway Dr
Ste 120
Saint Cloud, MN 56303
Phone (320) 253-2441
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
- Anoka, MN
- NPI 1861493843
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1162771200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1598054400000",
"number": "1396814539",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1545 NORTHWAY DR",
"address_2": "SUITE 120",
"city": "SAINT CLOUD",
"state": "MN",
"postal_code": "563031940",
"telephone_number": "320-253-2441",
"fax_number": "320-253-2446"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1545 NORTHWAY DR",
"address_2": "SUITE 120",
"city": "SAINT CLOUD",
"state": "MN",
"postal_code": "563031940",
"telephone_number": "320-253-2441",
"fax_number": "320-253-2446"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "NORTHWAY EYE & CONTACT LENS CENTER",
"organizational_subpart": "NO",
"enumeration_date": "2006-11-06",
"last_updated": "2020-08-22",
"status": "A",
"authorized_official_last_name": "GUGGENBERGER",
"authorized_official_first_name": "NATALIE",
"authorized_official_middle_name": "MARY",
"authorized_official_title_or_position": "OFFICE MANAGER",
"authorized_official_telephone_number": "320-253-2441"
},
"taxonomies": [
{
"code": "152W00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Optometrist",
"state": "MN",
"license": "1776",
"primary": false
},
{
"code": "152W00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Optometrist",
"state": "MN",
"license": "2751",
"primary": false
},
{
"code": "152W00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Optometrist",
"state": "MN",
"license": "2909",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Saint Cloud, MN
- Northpoint Counseling, LLC
- Northway Academy, Inc.
- Northway Academy, Inc.
- Northway Academy, Inc. (Northway Academy, Inc. St. Cloud South)
- Northway Academy, Inc. (Northway Academy, Inc. Behavior Supports)
- Northwest Health Care
- Northwest Health Care, Inc
- Sarah Elizabeth Norton
- Glenna Noska, MS, MPH
- Caleb Notch
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.