K & K Vision, Inc.

Primary specialty

OptometristTaxonomy code 152W00000X

Legal business name

K & K VISION, INC.

Practice address

2024 Ford Pkwy
Saint Paul, MN 55116-1931

Phone

(651) 698-2020

Fax

(651) 698-6918

NPI assigned

Jan 9, 2007

Organization subpart

No

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

Authorized official

Name

Dr. Bryan Parrott, ODNPI 1609427418

Title

Billing Specialist

Phone

(651) 698-2020

Specialties & licenses 1

Addresses

Other identifiers 6

Other names 1

• Pearle Vision Doing business as

Medicare fee-for-service enrollment

Enrolled in MN

Enrollment records 1

Locations

Practitioners 8

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

• Bryan Thomas Parrott, OD

  • Optometrist
  • Saint Paul, MN
  • NPI 1609427418
  Medicare reassignment Care Compare group NPD Authorized official
• Holly Rose Langer, OD

  • Optometrist
  • Bloomington, MN
  • NPI 1346735198
  Medicare reassignment Care Compare group NPD
• Troy E Randgaard, O.D.

  • Optometrist
  • Saint Paul, MN
  • NPI 1194884635
  Medicare reassignment Care Compare group NPD
• Mai Chee Moua

  • Optometrist
  • Saint Paul, MN
  • NPI 1891383717
  Medicare reassignment NPD
• Taylor Marie Wolke, OD

  • Optometrist
  • St Paul, MN
  • NPI 1023502879
  Medicare reassignment NPD
• Aaron Peterson, O.D.

  • Optometrist
  • Westlake Village, CA
  • NPI 1366808370

  MN

  Medicare reassignment NPD
• Patrick J Wands, OD

  • Optometrist
  • Saint Paul, MN
  • NPI 1679538250
  Medicare reassignment
• Patrick Flanagan, OD

  • Optometrist
  • Saint Paul, MN
  • NPI 1427112010
  NPD (past)

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

{
    "created_epoch": "1168300800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1706400000000",
    "number": "1407905391",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2024 FORD PKWY",
            "city": "SAINT PAUL",
            "state": "MN",
            "postal_code": "551161931",
            "telephone_number": "651-698-2020",
            "fax_number": "651-698-6918"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2024 FORD PKWY",
            "city": "SAINT PAUL",
            "state": "MN",
            "postal_code": "551161931",
            "telephone_number": "651-698-2020",
            "fax_number": "651-698-6918"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "K & K VISION, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-09",
        "last_updated": "2024-01-28",
        "certification_date": "2024-01-18",
        "status": "A",
        "authorized_official_last_name": "PARROTT",
        "authorized_official_first_name": "BRYAN",
        "authorized_official_title_or_position": "BILLING SPECIALIST",
        "authorized_official_telephone_number": "651-698-2020",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "OD"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Optometrist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "540S6PE",
            "state": "MN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PREFERRED ONE",
            "identifier": "01034910",
            "state": "MN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICA",
            "identifier": "21-17309",
            "state": "MN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "540S9PE",
            "state": "MN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HEALTH PARTNERS",
            "identifier": "100864",
            "state": "MN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UCARE",
            "identifier": "102435",
            "state": "MN"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Pearle Vision",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Pearle Vision",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• 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 Jan 28, 2024; 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.