NPIMap

Organization Active NPI

Family Eye Care Center of Austin Inc.

  • Eyewear Supplier
  • Austin, MN
National Provider Identifier
1417119744
Registry record updated Sep 30, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Eyewear SupplierTaxonomy code 332H00000X
Legal business name
FAMILY EYE CARE CENTER OF AUSTIN INC.
Practice address
200 14TH St NW
Austin, MN 55912-4645
Phone
(507) 437-3227
Fax
(507) 437-8070
NPI assigned
Jun 27, 2008
Last updated
Sep 30, 2009By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 30, 2009

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

Authorized official

Name
Dr. Jeffrey Leon Anderson, O.D.NPI 1427044916
Title
Optometrist
Phone
(507) 437-3227

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Eyewear Supplier 332H00000X Primary

Addresses

Primary practice location

200 14TH St NW
Austin, MN 55912-4645

Mailing address

200 14TH St NW
Austin, MN 55912-4645
Phone (507) 437-3227

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MN2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20080724000606 MN Part B Supplier - Clinic/Group Practice 1456424365 Receives reassigned benefits from 4 practitioners
Practice locations: Austin, MN
O20100930085108 MN DME Supplier - Physician - Optometrist 1456424365 1 other NPI on this enrollment
Practice locations: Austin, MN

Other NPIs on the same Medicare enrollment 1

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

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

Medicare medical equipment & supply locations

SupplierSuppliesMedicare assignment
Family Eye Care Center of Austin in200 14TH St NW, Austin, MN 55912-4645(507) 437-3227 Prosthetic Lenses: Conventional Eyeglasses|Prosthetic Lenses: Conventional Contact Lenses|Prosthetic Lenses: Prosthetics Cataract Lenses Accepts assignmentParticipating since Jul 1, 2008

National Provider Directory

National Provider Directory

Locations

200 14th St NW
Austin, MN 55912
Phone (507) 437-3227

Practitioners & affiliated clinicians

Practitioners 4

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.

NPI Registry JSON

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

{
    "created_epoch": "1214524800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1254268800000",
    "number": "1417119744",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "200 14TH ST NW",
            "city": "AUSTIN",
            "state": "MN",
            "postal_code": "559124645",
            "telephone_number": "507-437-3227",
            "fax_number": "507-437-8070"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "200 14TH ST NW",
            "city": "AUSTIN",
            "state": "MN",
            "postal_code": "559124645",
            "telephone_number": "507-437-3227",
            "fax_number": "507-437-8070"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FAMILY EYE CARE CENTER OF AUSTIN INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-06-27",
        "last_updated": "2009-09-30",
        "status": "A",
        "authorized_official_last_name": "ANDERSON",
        "authorized_official_first_name": "JEFFREY",
        "authorized_official_middle_name": "LEON",
        "authorized_official_title_or_position": "OPTOMETRIST",
        "authorized_official_telephone_number": "507-437-3227",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "O.D."
    },
    "taxonomies": [
        {
            "code": "332H00000X",
            "taxonomy_group": "",
            "desc": "Eyewear Supplier",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Austin, MN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 30, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.