Vincelli Optometry Inc.

Primary specialty

OptometristTaxonomy code 152W00000X

License

2887 Issued in MN

Legal business name

VINCELLI OPTOMETRY INC.

Practice address

1055 Ryans Rd
Worthington, MN 56187-1721

Phone

(507) 376-9212

Fax

(507) 376-9235

NPI assigned

Nov 9, 2006

Organization subpart

No

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

Authorized official

Name

Ryan Christopher Vincelli, O.D.NPI 1306952031

Title

President

Phone

(507) 376-9212

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in MN

Enrollment records 1

Practitioners 1

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

• Ryan Christopher Vincelli, O.D.

  • Optometrist
  • Worthington, MN
  • NPI 1306952031
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1163030400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1417028846",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1055 RYANS RD",
            "city": "WORTHINGTON",
            "state": "MN",
            "postal_code": "561871721",
            "telephone_number": "507-376-9212",
            "fax_number": "507-376-9235"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1055 RYANS RD",
            "city": "WORTHINGTON",
            "state": "MN",
            "postal_code": "561871721",
            "telephone_number": "507-376-9212",
            "fax_number": "507-376-9235"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VINCELLI OPTOMETRY INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-09",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "VINCELLI",
        "authorized_official_first_name": "RYAN",
        "authorized_official_middle_name": "CHRISTOPHER",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "507-376-9212",
        "authorized_official_credential": "O.D."
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": "MN",
            "license": "2887",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Ross M Tucker, MD
• Jason Coy Turner, RPH
• Valerie Marie Vadnais, DMD
• Troy A Van Orman, PT
• Carla Esther Villanueva
• Ryan Christopher Vincelli, O.D.
• Louella Voigt, LICSW, LMFT
• Wal-Mart Stores, Inc. (Vision Center 30-2820)
• Walgreen Co (Walgreens #10189)
• Andrea L Walker, MS, LMFT

• Optometrist in Worthington, MN
• Providers in Worthington, 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.