NPIMap

Organization Active NPI

Vision Pro II, Inc

  • Optometrist
  • North Branch, MN
National Provider Identifier
1467018705
Registry record updated Jun 16, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
Legal business name
VISION PRO II, INC
Practice address
38814 3Rd Ave
North Branch, MN 55056-5962
Phone
(651) 674-9974
Fax
(651) 674-0347
NPI assigned
May 13, 2019
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 16, 2025

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

Authorized official

Name
Nichole Severin
Title
Credentialing Specialist
Phone
(715) 621-2020

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
OptometristGroup: 193200000X MULTI-SPECIALTY GROUP 152W00000X Primary

Addresses

Primary practice location

38814 3Rd Ave
North Branch, MN 55056-5962

Mailing address

1806 Belknap St
Superior, WI 54880-2595
Phone (715) 392-6222

National Provider Directory

National Provider Directory
Tax ID family
Vision Pro12 organizations share this tax ID, including this one

Other organizations with this tax ID 11

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

Locations

38814 3rd Ave
North Branch, MN 55056
Phone (651) 674-9974

5481 Saint Croix Trl
North Branch, MN 55056

Practitioners & affiliated clinicians

Practitioners 5

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1557705600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1750032000000",
    "number": "1467018705",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1806 BELKNAP ST",
            "city": "SUPERIOR",
            "state": "WI",
            "postal_code": "548802595",
            "telephone_number": "715-392-6222"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "38814 3RD AVE",
            "city": "NORTH BRANCH",
            "state": "MN",
            "postal_code": "550565962",
            "telephone_number": "651-674-9974",
            "fax_number": "651-674-0347"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VISION PRO II, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-05-13",
        "last_updated": "2025-06-16",
        "certification_date": "2025-06-06",
        "status": "A",
        "authorized_official_last_name": "SEVERIN",
        "authorized_official_first_name": "NICHOLE",
        "authorized_official_title_or_position": "CREDENTIALING SPECIALIST",
        "authorized_official_telephone_number": "715-621-2020"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Optometrist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in North Branch, MN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 16, 2025; 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.