Lexington Eye Associates

Primary specialty

Ophthalmology PhysicianTaxonomy code 207W00000X

License

29010 Issued in MN

Legal business name

LEXINGTON EYE ASSOCIATES

Practice address

1570 Concordia Ave
Suite 202
St Paul, MN 55104-5345

Phone

(651) 646-7419

Fax

(651) 637-2778

NPI assigned

Dec 21, 2006

Organization subpart

No

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

Authorized official

Name

Mark Wedul, MD

Title

President

Phone

(651) 646-7419

Specialties & licenses 2

Addresses

Other identifiers 2

Locations

Practitioners 1

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

• Martin G Bruhl, MD

  • Ophthalmology Physician
  • Saint Paul, MN
  • NPI 1417901455
  NPD (past)

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

{
    "created_epoch": "1166659200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1477267200000",
    "number": "1437213527",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1570 CONCORDIA AVE",
            "address_2": "SUITE 202",
            "city": "ST PAUL",
            "state": "MN",
            "postal_code": "551045345",
            "telephone_number": "651-646-7419",
            "fax_number": "651-637-2778"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1570 CONCORDIA AVE",
            "address_2": "SUITE 202",
            "city": "ST PAUL",
            "state": "MN",
            "postal_code": "551045345",
            "telephone_number": "651-646-7419",
            "fax_number": "651-637-2778"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LEXINGTON EYE ASSOCIATES",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-12-21",
        "last_updated": "2016-10-24",
        "status": "A",
        "authorized_official_last_name": "WEDUL",
        "authorized_official_first_name": "MARK",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "651-646-7419",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Ophthalmology",
            "state": "MN",
            "license": "E15851",
            "primary": false
        },
        {
            "code": "207W00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Ophthalmology",
            "state": "MN",
            "license": "29010",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "219863100",
            "state": "MN"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "664275600",
            "state": "MN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Mariah Lewis
• Melissa Ann Lewis, LICSW
• Morris Leonard Lewis, RN
• Nicole Marie Lewis, LPN
• Roy Lewis, DC
• Lexington Rehabilitation Center
• Carol Ley, MD, MPH
• Brendan Leyden, MSW, MPH, LICSW
• LHC Consulting, PC
• Dayuan Li, MD, PHD

• Ophthalmology Physician in Saint Paul, MN
• Providers in Saint Paul, MN by specialty
• Ophthalmology Physician in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 24, 2016; 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.