Midwest Vision Centers Inc

Primary specialty

OpticianTaxonomy code 156FX1800X

Legal business name

MIDWEST VISION CENTERS INC

Doing business as

MIDWEST VISION CENTERS

Practice address

1113 E College Drive
Marshall, MN 56258

Phone

(507) 532-5771

Fax

(507) 532-5772

NPI assigned

Nov 15, 2006

Organization subpart

No

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

Authorized official

Name

Carin Marie Evans

Title

Director of Operations

Phone

(320) 252-5777

Specialties & licenses 1

Addresses

Other identifiers 6

Other names 1

• MIDWEST VISION CENTERS Doing business as

Locations

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

{
    "created_epoch": "1163548800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1636502400000",
    "number": "1407928187",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 456",
            "city": "SAINT CLOUD",
            "state": "MN",
            "postal_code": "563020456",
            "telephone_number": "888-466-5777",
            "fax_number": "320-258-3136"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1113 E COLLEGE DRIVE",
            "city": "MARSHALL",
            "state": "MN",
            "postal_code": "56258",
            "telephone_number": "507-532-5771",
            "fax_number": "507-532-5772"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MIDWEST VISION CENTERS INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-15",
        "last_updated": "2021-11-10",
        "certification_date": "2021-11-10",
        "status": "A",
        "authorized_official_last_name": "EVANS",
        "authorized_official_first_name": "CARIN",
        "authorized_official_middle_name": "MARIE",
        "authorized_official_title_or_position": "DIRECTOR OF OPERATIONS",
        "authorized_official_telephone_number": "320-252-5777"
    },
    "taxonomies": [
        {
            "code": "156FX1800X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Technician/Technologist, Optician",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICA",
            "identifier": "2100325",
            "state": "MN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HEALTH PARTNERS",
            "identifier": "92084",
            "state": "MN"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "335465200",
            "state": "MN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PREFERRED ONE",
            "identifier": "23180",
            "state": "MN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UCARE",
            "identifier": "163962",
            "state": "MN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "280R6MI",
            "state": "MN"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "MIDWEST VISION CENTERS",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "MIDWEST VISION CENTERS",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Michael B Debrule DPM, PA
• Michael R Thomas DDS
• Raymond S Michael, MD
• Timothy P Michals Jr., M.D.
• Midwest Vision Centers Inc
• Jeffrey Mikkelson, PHARMD
• Atul K Mishra, MD
• Karla Mitchell, LP
• Lauren Claire-Stelly Mitchell, DPT,ATC
• Ayan Mohamed

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 10, 2021; 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.