Eyestorerx, LLC

Primary specialty

Mail Order PharmacyTaxonomy code 3336M0002X

Legal business name

EYESTORERX, LLC

Practice address

5051 Highway 7
Suite 260
Minneapolis, MN 55416-2282

Phone

(952) 908-0818

Fax

(952) 400-5756

NPI assigned

Jul 18, 2009

Organization subpart

No

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

Authorized official

Name

Geoff Gothro

Title

Ceo

Phone

(612) 865-0614

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1247875200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1267660800000",
    "number": "1457581902",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5051 HIGHWAY 7",
            "address_2": "SUITE 260",
            "city": "MINNEAPOLIS",
            "state": "MN",
            "postal_code": "554162282",
            "telephone_number": "952-908-0818",
            "fax_number": "952-400-5756"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5051 HIGHWAY 7",
            "address_2": "SUITE 260",
            "city": "MINNEAPOLIS",
            "state": "MN",
            "postal_code": "554162282",
            "telephone_number": "952-908-0818",
            "fax_number": "952-400-5756"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EYESTORERX, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-07-18",
        "last_updated": "2010-03-04",
        "status": "A",
        "authorized_official_last_name": "GOTHRO",
        "authorized_official_first_name": "GEOFF",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "612-865-0614"
    },
    "taxonomies": [
        {
            "code": "3336M0002X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Mail Order Pharmacy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Extended Health Services
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• Eyecare MPLS PLLC
• Eyeswear
• Raye McPhillips Eyrich, PH.D.
• Adaolisa Ezechukwu
• Karen Marie Ezuck, OT
• Hayat A Ezzat, PHARMD

• Mail Order Pharmacy in Minneapolis, MN
• Providers in Minneapolis, MN by specialty
• Mail Order Pharmacy in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 4, 2010; 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.