Organization Active NPI

Midwest Vision Centers Inc

  • Optician
  • Moorhead, MN
National Provider Identifier
1447323373
Registry record updated Nov 10, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
OpticianTaxonomy code 156FX1800X
Legal business name
MIDWEST VISION CENTERS INC
Practice address
3206 Highway 10 E
Moorhead, MN 56560-2524
Phone
(218) 233-1867
Fax
(218) 233-1873
NPI assigned
Nov 16, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 10, 2021

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

Authorized official

Name
Mrs. Cari Marie Evans
Title
Director of Operations
Phone
(888) 466-5777

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
OpticianGroup: 193400000X SINGLE SPECIALTY GROUP 156FX1800X Primary

Addresses

Primary practice location

3206 Highway 10 E
Moorhead, MN 56560-2524

Mailing address

PO Box 456
Saint Cloud, MN 56302-0456
Phone (888) 466-5777

Other identifiers 6

IdentifierTypeStateIssuer
23180OtherMNPREFERRED ONE
373683100MedicaidMN
282R4MIOtherMNBLUE CROSS BLUE SHIELD
98393OtherMNHEALTH PARTNERS
2100337OtherMNMEDICA
163966OtherMNUCARE

Other names 1

  • MIDWEST VISION CENTERS Doing business as

National Provider Directory

National Provider Directory

Locations

3206 Highway 10 E
Moorhead, MN 56560
Phone (218) 233-1867

NPI Registry JSON

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

{
    "created_epoch": "1163635200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1636502400000",
    "number": "1447323373",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 456",
            "city": "SAINT CLOUD",
            "state": "MN",
            "postal_code": "563020456",
            "telephone_number": "888-466-5777",
            "fax_number": "320-258-3136"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3206 HIGHWAY 10 E",
            "city": "MOORHEAD",
            "state": "MN",
            "postal_code": "565602524",
            "telephone_number": "218-233-1867",
            "fax_number": "218-233-1873"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MIDWEST VISION CENTERS INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-16",
        "last_updated": "2021-11-10",
        "certification_date": "2021-11-10",
        "status": "A",
        "authorized_official_last_name": "EVANS",
        "authorized_official_first_name": "CARI",
        "authorized_official_middle_name": "MARIE",
        "authorized_official_title_or_position": "DIRECTOR OF OPERATIONS",
        "authorized_official_telephone_number": "888-466-5777",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "156FX1800X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Technician/Technologist, Optician",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PREFERRED ONE",
            "identifier": "23180",
            "state": "MN"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "373683100",
            "state": "MN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "282R4MI",
            "state": "MN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HEALTH PARTNERS",
            "identifier": "98393",
            "state": "MN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICA",
            "identifier": "2100337",
            "state": "MN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UCARE",
            "identifier": "163966",
            "state": "MN"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "MIDWEST VISION CENTERS",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "MIDWEST VISION CENTERS",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Moorhead, MN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 10, 2021; 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.