Organization Active NPI

Eye Kraft Optical, Inc

  • Eyewear Supplier
  • Saint Cloud, MN
National Provider Identifier
1407051279
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Eyewear SupplierTaxonomy code 332H00000X
Legal business name
EYE KRAFT OPTICAL, INC
Practice address
8 McLeland Rd
Saint Cloud, MN 56303-2049
Phone
(320) 251-0141
Fax
(320) 257-1187
NPI assigned
Jun 20, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Mr. Michael Thomas Moeller
Title
Controller
Phone
(320) 251-0141

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Eyewear Supplier 332H00000X Primary

Addresses

Primary practice location

8 McLeland Rd
Saint Cloud, MN 56303-2049

Mailing address

PO Box 400
Saint Cloud, MN 56302-0400
Phone (320) 251-0141

National Provider Directory

National Provider Directory

Locations

8 McLeland Rd
Saint Cloud, MN 56303
Phone (320) 251-0141

NPI Registry JSON

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

{
    "created_epoch": "1182297600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1407051279",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 400",
            "city": "SAINT CLOUD",
            "state": "MN",
            "postal_code": "563020400",
            "telephone_number": "320-251-0141",
            "fax_number": "320-257-1187"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8 MCLELAND RD",
            "city": "SAINT CLOUD",
            "state": "MN",
            "postal_code": "563032049",
            "telephone_number": "320-251-0141",
            "fax_number": "320-257-1187"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EYE KRAFT OPTICAL, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-06-20",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "MOELLER",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_middle_name": "THOMAS",
        "authorized_official_title_or_position": "CONTROLLER",
        "authorized_official_telephone_number": "320-251-0141",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "332H00000X",
            "taxonomy_group": "",
            "desc": "Eyewear Supplier",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Saint Cloud, MN

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.

Verify at the official NPI Registry.