Pinecone Vision Center

Primary specialty

OptometristTaxonomy code 152W00000X

Legal business name

PINECONE VISION CENTER

Practice address

2180 Troop Drive
Sartell, MN 56377-4563

Phone

(320) 258-3915

Fax

(320) 258-3917

NPI assigned

Jul 17, 2015

Last updated

Jul 17, 2015By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Chrissy Henry

Title

Business Office Manager

Phone

(320) 258-3915

Specialties & licenses 4

Addresses

Tax ID family

Pinecone Vision Center PLLC3 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.

• Pinecone Vision Center, PA

  dba PineCone Vision Center St. Cloud

  • Optometrist
  • Saint Cloud, MN
  • NPI 1295468098
  NPD tax ID
• Pinecone Vision Center, PA

  • Optometrist
  • Sartell, MN
  • NPI 1790830701
  NPD tax ID

Locations

Interoperability endpoints

• FHIR API: https://pineconevisioncenter.ef.prod.fhir.ema-api.com/fhir/r4/

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.

• Nicholas Colatrella, O.D. FAAO

  • Optometrist
  • Sartell, MN
  • NPI 1467507475
  NPD (past)

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

{
    "created_epoch": "1437091200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1437091200000",
    "number": "1467836650",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2180 TROOP DRIVE",
            "city": "SARTELL",
            "state": "MN",
            "postal_code": "563774563",
            "telephone_number": "320-258-3915",
            "fax_number": "320-258-3917"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2180 TROOP DRIVE",
            "city": "SARTELL",
            "state": "MN",
            "postal_code": "563774563",
            "telephone_number": "320-258-3915",
            "fax_number": "320-258-3917"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PINECONE VISION CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-07-17",
        "last_updated": "2015-07-17",
        "status": "A",
        "authorized_official_last_name": "HENRY",
        "authorized_official_first_name": "CHRISSY",
        "authorized_official_title_or_position": "BUSINESS OFFICE MANAGER",
        "authorized_official_telephone_number": "320-258-3915"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "NU",
            "license": null,
            "primary": true
        },
        {
            "code": "152WC0802X",
            "taxonomy_group": "",
            "desc": "Optometrist, Corneal and Contact Management",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "152WL0500X",
            "taxonomy_group": "",
            "desc": "Optometrist, Low Vision Rehabilitation",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "152WP0200X",
            "taxonomy_group": "",
            "desc": "Optometrist, Pediatrics",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Christopher Petrie, PSYD, CMPC
• Angela Pfeiffer Bedard, DDS
• Elizabeth A Phillips, MD
• Caitlin Marie Pietrzak
• Pinecone Family Counseling, PA
• Pinecone Vision Center, PA
• Pinecone Vision Therapy Center
• Lori Ann Pinke, MD
• Clarissa Josephine Piwowar
• Beth Plante

• Optometrist in Sartell, MN
• Providers in Sartell, MN by specialty
• Optometrist in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 17, 2015; 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.