NPIMap

Organization Active NPI

Ophthalmology Associates of Mankato

  • Specialist
  • Mankato, MN
National Provider Identifier
1457717803
Registry record updated Apr 5, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
59163 Issued in MN
Legal business name
OPHTHALMOLOGY ASSOCIATES OF MANKATO
Practice address
1630 Adams St
Mankato, MN 56001-6795
Phone
(507) 385-6151
Fax
(507) 625-1096
NPI assigned
Jan 14, 2016
Last updated
Apr 5, 2022By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 5, 2022

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

Authorized official

Name
Dr. Emily Susan Birkholz, MDNPI 1336316108
Title
Owner
Phone
(507) 345-6151

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
SpecialistGroup: 193400000X SINGLE SPECIALTY GROUP 174400000X 59163 MN Primary

Addresses

Primary practice location

1630 Adams St
Mankato, MN 56001-6795

Mailing address

1630 Adams St
Mankato, MN 56001-6795
Phone (507) 385-6151

National Provider Directory

National Provider Directory
Tax ID family
Ophthalmology Associates of Mankato PA3 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.

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1452729600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1649116800000",
    "number": "1457717803",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1630 ADAMS ST",
            "city": "MANKATO",
            "state": "MN",
            "postal_code": "560016795",
            "telephone_number": "507-385-6151",
            "fax_number": "507-625-1096"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1630 ADAMS ST",
            "city": "MANKATO",
            "state": "MN",
            "postal_code": "560016795",
            "telephone_number": "507-385-6151",
            "fax_number": "507-625-1096"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OPHTHALMOLOGY ASSOCIATES OF MANKATO",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-01-14",
        "last_updated": "2022-04-05",
        "certification_date": "2022-04-05",
        "status": "A",
        "authorized_official_last_name": "BIRKHOLZ",
        "authorized_official_first_name": "EMILY",
        "authorized_official_middle_name": "SUSAN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "507-345-6151",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Specialist",
            "state": "MN",
            "license": "59163",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Mankato, MN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 5, 2022; 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.