Northern Minnesota Eye Care LLC

Primary specialty

OptometristTaxonomy code 152W00000X

License

2979/2974 Issued in MN

Legal business name

NORTHERN MINNESOTA EYE CARE LLC

Doing business as

Vista Eyes

Practice address

1416 S 12TH Ave
Virginia, MN 55792-3247

Phone

(773) 495-9669

NPI assigned

Oct 6, 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

Dr. Sasha Niranjali Narayan, O.D.NPI 1275582421

Title

President

Phone

(773) 495-9669

Specialties & licenses 1

Addresses

Other identifiers 3

Other names 1

• Vista Eyes Doing business as

Medicare fee-for-service enrollment

Enrolled in MN

Enrollment records 1

Other NPIs on the same Medicare enrollment 1

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

• Northern Minnesota Eye Care LLC

  • Optometrist
  • Cloquet, MN
  • NPI 1992754238

  O20060808000477

  Same enrollment

Member organizations 2

Organizations listed as members of this organization in the National Provider Directory.

• Moose Lake Eye Care LLC

  • Optometrist
  • Moose Lake, MN
  • NPI 1548580228

  Member Of

  NPD member
• Moose Lake Eye Care, LLC

  dba Northern Minnesota Eye Care, LLC

  • Optometrist
  • Hinckley, MN
  • NPI 1700263985

  Member Of

  NPD member

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Sasha Niranjali Narayan, O.D.

  • Optometrist
  • Cloquet, MN
  • NPI 1275582421
  NPD (past) Authorized official
• Christopher Allen McDowell, O.D.

  • Optometrist
  • Cloquet, MN
  • NPI 1235188079
  NPD (past)

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

{
    "created_epoch": "1160092800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1407943897",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1010 22ND ST",
            "address_2": "APT 301",
            "city": "CLOQUET",
            "state": "MN",
            "postal_code": "557202876",
            "telephone_number": "773-495-9669"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1416 S 12TH AVE",
            "city": "VIRGINIA",
            "state": "MN",
            "postal_code": "557923247",
            "telephone_number": "773-495-9669"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NORTHERN MINNESOTA EYE CARE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-06",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "NARAYAN",
        "authorized_official_first_name": "SASHA",
        "authorized_official_middle_name": "NIRANJALI",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "773-495-9669",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "O.D."
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "MN",
            "license": "2979/2974",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICA",
            "identifier": "21-00779",
            "state": "MN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "SPECTERA",
            "identifier": "25062",
            "state": "MN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS OF MN",
            "identifier": "488P1VI",
            "state": "MN"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Vista Eyes",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Candie L Nikunen
• Michael Asamoah Nkrumah, PHARM D, PA-C
• Kaitlyn Nicolle Bremer Nordling, PA-C
• Northern Diagnostic Services, Inc (North Star Medical Equipment)
• Northern Diagnostic Services, Inc. (Healthstar Home Health Agency)
• Northern Physician Services, Inc
• Northern Physicians Services (White Pine Orthopedics)
• Northern Reflections Counseling PLLC
• Northland Hearing Center, Inc.
• Northland Learning Center

• Optometrist in Virginia, MN
• Providers in Virginia, MN by specialty
• Optometrist 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.
• 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.