NPIMap

Organization Active NPI

North Star Eye Associates

  • Optometrist
  • Maple Grove, MN
National Provider Identifier
1497057871
Registry record updated Nov 17, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
3025 Issued in MN
Legal business name
NORTH STAR EYE ASSOCIATES
Practice address
7767 Elm Creek Blvd N
Ste 140
Maple Grove, MN 55369-7041
Phone
(763) 416-6501
NPI assigned
Nov 17, 2010
Last updated
Nov 17, 2010By the provider in NPPES
Organization subpart
Yes
Parent organization
LCA VISION/LASIK PLUSAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Nov 17, 2010

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

Authorized official

Name
Terri Rouse
Title
Director of Managed Care
Phone
(513) 354-5827

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 3025 MN Primary

Addresses

Primary practice location

7767 Elm Creek Blvd N
Ste 140
Maple Grove, MN 55369-7041

Mailing address

7840 Montgomery Rd
Cincinnati, OH 45236-4301

National Provider Directory

National Provider Directory
Tax ID family
North Star Eye Associates5 organizations share this tax ID, including this one
Part of
Lca-Vision

Other organizations with this tax ID 4

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": "1289952000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1289952000000",
    "number": "1497057871",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7840 MONTGOMERY RD",
            "city": "CINCINNATI",
            "state": "OH",
            "postal_code": "452364301"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7767 ELM CREEK BLVD N",
            "address_2": "STE 140",
            "city": "MAPLE GROVE",
            "state": "MN",
            "postal_code": "553697041",
            "telephone_number": "763-416-6501"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NORTH STAR EYE ASSOCIATES",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "LCA VISION/LASIK PLUS",
        "enumeration_date": "2010-11-17",
        "last_updated": "2010-11-17",
        "status": "A",
        "authorized_official_last_name": "ROUSE",
        "authorized_official_first_name": "TERRI",
        "authorized_official_title_or_position": "DIRECTOR OF MANAGED CARE",
        "authorized_official_telephone_number": "513-354-5827"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "MN",
            "license": "3025",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Maple Grove, MN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 17, 2010; 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.