Minnesota Vision Group

Primary specialty

Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X

License

2441 Issued in MN

Legal business name

MINNESOTA VISION GROUP

Doing business as

Insight Eyecare

Practice address

204 Washburne Ave
Paynesville, MN 56362-1643

Phone

(320) 243-3566

Fax

(320) 243-7104

NPI assigned

Dec 19, 2006

Organization subpart

No

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

Authorized official

Name

Dr. Greg J Friederichs, O.D.

Title

Owner

Phone

(320) 243-3566

Specialties & licenses 1

Addresses

Other names 1

• Insight Eyecare Doing business as

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

{
    "created_epoch": "1166486400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1196294400000",
    "number": "1457414419",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 7654",
            "city": "SAINT CLOUD",
            "state": "MN",
            "postal_code": "563027654",
            "telephone_number": "320-253-0365",
            "fax_number": "320-253-9401"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "204 WASHBURNE AVE",
            "city": "PAYNESVILLE",
            "state": "MN",
            "postal_code": "563621643",
            "telephone_number": "320-243-3566",
            "fax_number": "320-243-7104"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MINNESOTA VISION GROUP",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-12-19",
        "last_updated": "2007-11-29",
        "status": "A",
        "authorized_official_last_name": "FRIEDERICHS",
        "authorized_official_first_name": "GREG",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "320-243-3566",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "O.D."
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "MN",
            "license": "2441",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Insight Eyecare",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Mae Maurer-Rogers, LADC LICSW
• Alex Maurer, LSW, LADC
• Lisa Ruth Miller, OMT, RDH
• Wendy Michelle Miller, FNP-BC
• Donald Arther Millner, DDS
• Francis Richard Mourning, R.PH.
• Randy Norman Nelson, D.O.
• Nudak Ventures LLC
• Kathleen Ann Ohman, RN, EDD
• Jacqueline S Osterhaus, PA-C

• Durable Medical Equipment & Medical Supplies in Paynesville, MN
• Providers in Paynesville, MN by specialty
• Durable Medical Equipment & Medical Supplies in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 29, 2007; 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.