MSP Eye Associates Inc

Primary specialty

OptometristTaxonomy code 152W00000X

License

2467 Issued in MN

Legal business name

MSP EYE ASSOCIATES INC

Practice address

7070 Tamarack Rd
Woodbury, MN 55125-1205

Phone

(612) 540-5473

Fax

(612) 540-5474

NPI assigned

Nov 4, 2009

Organization subpart

No

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

Authorized official

Name

Jennifer Borges, ODNPI 1528143781

Title

Owner

Phone

(612) 540-5473

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in MN

Enrollment records 1

Practitioners 3

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

• Jennifer Lynn Borges, O.D.

  • Optometrist
  • Woodbury, MN
  • NPI 1528143781
  Medicare reassignment Care Compare group Authorized official
• Rafael Agustin Borges, O.D.

  • Optometrist
  • Orlando, FL
  • NPI 1477638633

  MN

  Medicare reassignment Care Compare group NPD
• Trennda Rittenbach, O.D.

  • Optometrist
  • Sunnyvale, CA
  • NPI 1427207497
  NPD (past)

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

{
    "created_epoch": "1257292800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1655942400000",
    "number": "1487981965",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3570 SPRINGWOOD PATH",
            "city": "EAGAN",
            "state": "MN",
            "postal_code": "551231353",
            "telephone_number": "612-540-5473",
            "fax_number": "612-540-5474"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7070 TAMARACK RD",
            "city": "WOODBURY",
            "state": "MN",
            "postal_code": "551251205",
            "telephone_number": "612-540-5473",
            "fax_number": "612-540-5474"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2020 Commerce Dr NW",
            "address_purpose": "LOCATION",
            "city": "Rochester",
            "state": "MN",
            "postal_code": "559013246",
            "country_code": "US",
            "telephone_number": "507-286-1874",
            "fax_number": "507-286-1875",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "MSP EYE ASSOCIATES INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-11-04",
        "last_updated": "2022-06-23",
        "certification_date": "2022-06-23",
        "status": "A",
        "authorized_official_last_name": "BORGES",
        "authorized_official_first_name": "JENNIFER",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "612-540-5473",
        "authorized_official_credential": "OD"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": "MN",
            "license": "2467",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Alyson Marie Mueller
• Hayden Mueller
• Justin Mueller
• Kristin Kay Muhich, RDH
• Fartun Ahmed Muhumed

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 23, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.