Organization Active NPI

McLeod Optical

  • Eyewear Supplier
  • Hutchinson, MN
National Provider Identifier
1417036278
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Eyewear SupplierTaxonomy code 332H00000X
Legal business name
MCLEOD OPTICAL
Practice address
211 Freemont Ave SE
Hutchinson, MN 55350-3116
Phone
(320) 587-6309
Fax
(320) 587-5879
NPI assigned
Nov 3, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Steven A Queenan
Title
Proprietor
Phone
(320) 587-6309

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Eyewear Supplier 332H00000X Primary

Addresses

Primary practice location

211 Freemont Ave SE
Hutchinson, MN 55350-3116

Mailing address

211 Freemont Ave SE
Hutchinson, MN 55350-3116
Phone (320) 587-6309

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1162512000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1417036278",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "211 FREEMONT AVE SE",
            "city": "HUTCHINSON",
            "state": "MN",
            "postal_code": "553503116",
            "telephone_number": "320-587-6309",
            "fax_number": "320-587-5879"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "211 FREEMONT AVE SE",
            "city": "HUTCHINSON",
            "state": "MN",
            "postal_code": "553503116",
            "telephone_number": "320-587-6309",
            "fax_number": "320-587-5879"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MCLEOD OPTICAL",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-03",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "QUEENAN",
        "authorized_official_first_name": "STEVEN",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "PROPRIETOR",
        "authorized_official_telephone_number": "320-587-6309"
    },
    "taxonomies": [
        {
            "code": "332H00000X",
            "taxonomy_group": "",
            "desc": "Eyewear Supplier",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hutchinson, MN

Sources for this page

  • 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.