Up North Eye Care, P.a.

Primary specialty

OptometristTaxonomy code 152W00000X

Legal business name

UP NORTH EYE CARE, P.A.

Practice address

775 Buckskin Ave W Ste 1
Pillager, MN 56473-2509

Phone

(218) 746-2020

Fax

(218) 520-0654

NPI assigned

Feb 24, 2020

Last updated

Feb 23, 2022By 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

Stephanie Parrish, ODNPI 1225057755

Title

Optometrist

Phone

(218) 746-2020

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in MN2 enrollments

Enrollment records 2

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Medicare medical equipment & supply locations

Locations

Practitioners 2

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.

• Stephanie Parrish, O.D.

  • Optometrist
  • Pillager, MN
  • NPI 1225057755
  Medicare reassignment Care Compare group NPD Authorized official
• Wallace Scott Johnson, O.D.

  • Optometrist
  • Pillager, MN
  • NPI 1346209020
  Medicare reassignment Care Compare group NPD

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

{
    "created_epoch": "1582502400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1645574400000",
    "number": "1497389944",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "775 BUCKSKIN AVE W STE 1",
            "city": "PILLAGER",
            "state": "MN",
            "postal_code": "564732509",
            "telephone_number": "218-746-2020",
            "fax_number": "218-520-0654"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "775 BUCKSKIN AVE W STE 1",
            "city": "PILLAGER",
            "state": "MN",
            "postal_code": "564732509",
            "telephone_number": "218-746-2020",
            "fax_number": "218-520-0654"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "UP NORTH EYE CARE, P.A.",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-02-24",
        "last_updated": "2022-02-23",
        "certification_date": "2022-02-23",
        "status": "A",
        "authorized_official_last_name": "PARRISH",
        "authorized_official_first_name": "STEPHANIE",
        "authorized_official_title_or_position": "OPTOMETRIST",
        "authorized_official_telephone_number": "218-746-2020",
        "authorized_official_credential": "OD"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Pillager Area Charter School
• Pillager Country Dental LLC
• Clinton Lawrence Roberts, DDS
• Lindsay Solheim, M.S. CCC-SLP
• St. Joseph's Medical Center (Essentia Health St. Joseph's-Pillager Clinic)
• Jenna Wiese
• Kathy E Wimmer, MD

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 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.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.