Penny P Vizina OD LLC

Primary specialty

OptometristTaxonomy code 152W00000X

License

2381 Issued in MN

Legal business name

PENNY P VIZINA OD LLC

Doing business as

Family Vision Care

Practice address

121 W Main St
Owatonna, MN 55060-2970

Phone

(507) 451-5800

NPI assigned

Aug 26, 2010

Organization subpart

No

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

Authorized official

Name

Dr. Penny Peterson Vizina, O.D.

Title

Owner

Phone

(507) 451-5800

Specialties & licenses 1

Addresses

Other identifiers 2

Other names 1

• Family Vision 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.

• John M Muellerleile, O.D.

  • Corneal and Contact Management Optometrist
  • Owatonna, MN
  • NPI 1851397095
  NPD (past)

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

{
    "created_epoch": "1282780800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1411603200000",
    "number": "1407162589",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "121 W MAIN ST",
            "city": "OWATONNA",
            "state": "MN",
            "postal_code": "550602970",
            "telephone_number": "507-451-5800"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "121 W MAIN ST",
            "city": "OWATONNA",
            "state": "MN",
            "postal_code": "550602970",
            "telephone_number": "507-451-5800"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PENNY P VIZINA OD LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-08-26",
        "last_updated": "2014-09-25",
        "status": "A",
        "authorized_official_last_name": "VIZINA",
        "authorized_official_first_name": "PENNY",
        "authorized_official_middle_name": "PETERSON",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "507-451-5800",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "O.D."
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": "MN",
            "license": "2381",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0776480",
            "state": "MN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE PROVIDER NUMBER",
            "identifier": "410003463",
            "state": "MN"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Family Vision Care",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Park Place Senior Living, LLC
• Maggie Patel
• PDG, PA
• Nicole Rae Pelach, N.P.
• David Morgan Penn, M.D.
• Richard Pepper, L.A.D.C.
• Scott G Perkinson, M.D.
• Brittany Perrine, LPCC
• Breno S Pessanha, MD
• Brian Robert Peters, DDS

• Optometrist in Owatonna, MN
• Providers in Owatonna, MN by specialty
• Optometrist in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 25, 2014; 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.