Olde World Optical LTD

Primary specialty

OptometristTaxonomy code 152W00000X

License

1900 Issued in MN

Legal business name

OLDE WORLD OPTICAL LTD

Practice address

117 E Main St
Belle Plaine, MN 56011-1821

Phone

(952) 873-2244

Fax

(952) 873-2244

NPI assigned

Feb 25, 2007

Organization subpart

No

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

Authorized official

Name

Jeffrey A McGuire

Title

Vice President

Phone

(507) 835-1775

Specialties & licenses 2

Addresses

Locations

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

{
    "created_epoch": "1172361600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1354060800000",
    "number": "1447386552",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "117 E MAIN ST",
            "city": "BELLE PLAINE",
            "state": "MN",
            "postal_code": "560111821",
            "telephone_number": "952-873-2244",
            "fax_number": "952-873-2244"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "117 E MAIN ST",
            "city": "BELLE PLAINE",
            "state": "MN",
            "postal_code": "560111821",
            "telephone_number": "952-873-2244",
            "fax_number": "952-873-2244"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OLDE WORLD OPTICAL LTD",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-25",
        "last_updated": "2012-11-28",
        "status": "A",
        "authorized_official_last_name": "MCGUIRE",
        "authorized_official_first_name": "JEFFREY",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "VICE PRESIDENT",
        "authorized_official_telephone_number": "507-835-1775"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Optometrist",
            "state": "MN",
            "license": "1900",
            "primary": true
        },
        {
            "code": "332H00000X",
            "taxonomy_group": "",
            "desc": "Eyewear Supplier",
            "state": "MN",
            "license": "1900",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Optometrist in Belle Plaine, MN
• Providers in Belle Plaine, MN by specialty
• Optometrist in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 28, 2012; 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.