David Thelen

Primary specialty

OpticianTaxonomy code 156FX1800X

Legal business name

DAVID THELEN

Doing business as

carver eye care

Practice address

204 Lewis Ave S
Suite 102
Watertown, MN 55388-4500

Phone

(952) 955-3553

Fax

(952) 955-1900

NPI assigned

Nov 10, 2006

Last updated

Aug 22, 2020By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Jane Thelen

Title

Owner

Phone

(763) 295-4044

Specialties & licenses 1

Addresses

Other names 1

• carver eye care Doing business as

Tax ID family

David Thelen3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

Organizations that report the same tax identification number in the National Provider Directory.

• David Thelen

  dba select eyecare

  • Optician
  • Monticello, MN
  • NPI 1710058045
  NPD tax ID
• David Thelen

  dba marsh optical

  • Optician
  • Anoka, MN
  • NPI 1750452090
  NPD tax ID

Locations

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

{
    "created_epoch": "1163116800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1407927734",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "204 LEWIS AVE S",
            "address_2": "SUITE 102",
            "city": "WATERTOWN",
            "state": "MN",
            "postal_code": "553884500",
            "telephone_number": "952-955-3553",
            "fax_number": "952-955-1900"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "204 LEWIS AVE S",
            "address_2": "SUITE 102",
            "city": "WATERTOWN",
            "state": "MN",
            "postal_code": "553884500",
            "telephone_number": "952-955-3553",
            "fax_number": "952-955-1900"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DAVID THELEN",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-10",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "THELEN",
        "authorized_official_first_name": "JANE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "763-295-4044"
    },
    "taxonomies": [
        {
            "code": "156FX1800X",
            "taxonomy_group": "",
            "desc": "Technician/Technologist, Optician",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "carver eye care",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Catalyst Medical Clinic PA
• Children's Therapy Specialists, Inc.
• Chiropractic Specialists of Watertown PC
• Julie Choate, RCVT, RCT
• Jeffrey James Dagen, RPT
• DJ-MN Inc (Carver Eyecare)
• Don Sealock, O.D., P.a. (Watertown Eye Clinic)
• Dennis Edward Eickhoff, PT
• Elim Homes, Inc. (Elim Rehab and Nursing Home)
• Andrew Curtis Engebretson, ATC

• Optician in Watertown, MN
• Providers in Watertown, MN by specialty
• Optician in Minnesota

• 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.