NPIMap

Organization Active NPI

Advanced Looks Eye Care PC

  • Optometrist
  • Minot, ND
National Provider Identifier
1447635065
Registry record updated Jul 24, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
654 Issued in ND
Legal business name
ADVANCED LOOKS EYE CARE PC
Practice address
1100 N Broadway Ste 110
Minot, ND 58703-1349
Phone
(701) 852-2020
Fax
(701) 852-7853
NPI assigned
Jul 24, 2015
Last updated
Jul 24, 2015By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 24, 2015

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

Authorized official

Name
Amanda Lee, OD
Title
President/Owner
Phone
(971) 404-7853

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 654 ND Primary

Addresses

Primary practice location

1100 N Broadway Ste 110
Minot, ND 58703-1349

Mailing address

1100 N Broadway Ste 110
Minot, ND 58703-1349
Phone (701) 852-2020

National Provider Directory

National Provider Directory
Tax ID family
Advanced Looks Eye Care PC3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

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

NPI Registry JSON

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

{
    "created_epoch": "1437696000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1437696000000",
    "number": "1447635065",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1100 N BROADWAY STE 110",
            "city": "MINOT",
            "state": "ND",
            "postal_code": "587031349",
            "telephone_number": "701-852-2020",
            "fax_number": "701-852-7853"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1100 N BROADWAY STE 110",
            "city": "MINOT",
            "state": "ND",
            "postal_code": "587031349",
            "telephone_number": "701-852-2020",
            "fax_number": "701-852-7853"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ADVANCED LOOKS EYE CARE PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-07-24",
        "last_updated": "2015-07-24",
        "status": "A",
        "authorized_official_last_name": "LEE",
        "authorized_official_first_name": "AMANDA",
        "authorized_official_title_or_position": "PRESIDENT/OWNER",
        "authorized_official_telephone_number": "971-404-7853",
        "authorized_official_credential": "OD"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "ND",
            "license": "654",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Minot, ND

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 24, 2015; 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.