Eyecare Centers of Aitkin & McGregor Optometrists, PA

Primary specialty

OptometristTaxonomy code 152W00000X

License

2588 Issued in MN

Legal business name

EYECARE CENTERS OF AITKIN & MCGREGOR OPTOMETRISTS, PA

Doing business as

EyeCare Center of McGregor

Practice address

241 W. Hwy. 210
McGregor, MN 55760

Phone

(218) 768-7000

NPI assigned

Oct 24, 2006

Last updated

Dec 3, 2008By 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

Steven A Kinzer, ODNPI 1518918960

Title

Owner/Partner

Phone

(218) 927-3213

Specialties & licenses 2

Addresses

Other identifiers 1

Other names 1

• EyeCare Center of McGregor Doing business as

Medicare fee-for-service enrollment

Enrolled in MN2 enrollments

Enrollment records 2

Other NPIs with the same Medicare PAC ID 1

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

• Eyecare Centers of Aitkin & McGregor Optometrists, PA

  • Optometrist
  • Aitkin, MN
  • NPI 1104855287

  3971539685

  Same PAC ID

Other NPIs on the same Medicare enrollment 1

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

• Eyecare Centers of Aitkin & McGregor Optometrists, PA

  • Optometrist
  • Aitkin, MN
  • NPI 1104855287

  O20050714000100

  Same enrollment

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

Tax ID family

Eyecare Center of Aitkin2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• Eyecare Centers of Aitkin & McGregor Optometrists, PA

  • Optometrist
  • Aitkin, MN
  • NPI 1104855287
  NPD tax ID

Locations

Practitioners 3

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.

• Steven Anthony Kinzer, OD

  • Optometrist
  • Aitkin, MN
  • NPI 1518918960
  Medicare reassignment Care Compare group NPD Authorized official
• David Kenneth Hakes, O.D.

  • Optometrist
  • Northfield, MN
  • NPI 1992701536
  Medicare reassignment Care Compare group NPD
• Tori Telecky, OD

  • Optometrist
  • Aitkin, MN
  • NPI 1396674610
  NPD (past)

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

{
    "created_epoch": "1161648000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1228262400000",
    "number": "1437233079",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "241 W. HWY. 210",
            "city": "MCGREGOR",
            "state": "MN",
            "postal_code": "55760",
            "telephone_number": "218-768-7000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "241 W. HWY. 210",
            "city": "MCGREGOR",
            "state": "MN",
            "postal_code": "55760",
            "telephone_number": "218-768-7000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EYECARE CENTERS OF AITKIN & MCGREGOR OPTOMETRISTS, PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-24",
        "last_updated": "2008-12-03",
        "status": "A",
        "authorized_official_last_name": "KINZER",
        "authorized_official_first_name": "STEVEN",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "OWNER/PARTNER",
        "authorized_official_telephone_number": "218-927-3213",
        "authorized_official_credential": "OD"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "MN",
            "license": "2588",
            "primary": true
        },
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "MN",
            "license": "1998",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "281815900",
            "state": "MN"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "EyeCare Center of McGregor",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Teresa Morgan Arnold, MA,CCC/SLP
• George Badeaux, R.PH.
• Jason Brunko, PHARMD
• City of McGregor
• Dr. David a. Winegar
• Emily M Goranson, PA-C
• Luke Stanley Gould, LADC
• Gary Dean Hanson
• Judy Ann Hawley, PT, MAPL
• Lifelong Recovery Center, LLC

• Optometrist in McGregor, MN
• Providers in McGregor, MN by specialty
• Optometrist in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 3, 2008; 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.