Organization Active NPI

Midwest Vision Centers, Inc.

Doing business as Midwest Vision Centers

  • Optician
  • Wahpeton, ND
National Provider Identifier
1457677130
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.
Doing business as
Midwest Vision Centers
Practice address
517 Dakota Ave
Wahpeton, ND 58075
Phone
(701) 642-9302
Fax
(701) 642-4321
NPI assigned
Apr 20, 2010
Last updated
Nov 10, 2021By the provider in NPPES
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
Office Administrator
Phone
(888) 466-5777

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
OptometristGroup: 193400000X SINGLE SPECIALTY GROUP 152W00000X 6237575 MN
OpticianGroup: 193400000X SINGLE SPECIALTY GROUP 156FX1800X Primary

Addresses

Primary practice location

517 Dakota Ave
Wahpeton, ND 58075

Mailing address

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

Other identifiers 1

IdentifierTypeStateIssuer
60687MedicaidND

Other names 1

  • Midwest Vision Centers Doing business as

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1271721600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1636502400000",
    "number": "1457677130",
    "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": "517 DAKOTA AVE",
            "city": "WAHPETON",
            "state": "ND",
            "postal_code": "58075",
            "telephone_number": "701-642-9302",
            "fax_number": "701-642-4321"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MIDWEST VISION CENTERS, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-04-20",
        "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": "OFFICE ADMINISTRATOR",
        "authorized_official_telephone_number": "888-466-5777",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": "MN",
            "license": "6237575",
            "primary": false
        },
        {
            "code": "156FX1800X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Technician/Technologist, Optician",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "60687",
            "state": "ND"
        }
    ],
    "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 Wahpeton, ND

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.