Active NPI
Optometry 2000 Vision Care, Inc
Doing business as Melrose Eye Clinic
- Optometrist
- Melrose, MN
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- License
- MN2082
- Legal business name
- OPTOMETRY 2000 VISION CARE, INC
- Doing business as
- Melrose Eye Clinic
- Practice address
- 203 E Main St Ste B
Melrose, MN 56352-1485 - Phone
- (320) 256-4000
- Fax
- (320) 256-4002
- NPI assigned
- Sep 8, 2006
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Ricky Francis Groetsch, O.D.
- Title
- Optometrist
- Phone
- (320) 256-4000
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Optometrist | 152W00000X | MN2082 | MN | Primary |
Addresses
Primary practice location
203 E Main St Ste B
Melrose, MN 56352-1485
Mailing address
203 E Main St Ste B
Melrose, MN 56352-1485
Phone (320) 256-4000
Other identifiers 6
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 410049128 | Other | MN | RAILROAD MEDICARE PROV. N |
| MN2082 | Other | MN | EYEMED PROVIDER NUMBER |
| 380225600 | Medicaid | MN | |
| 21-00019 | Other | MN | MEDICA GLASSES PROV. NUMB |
| 115186 | Other | MN | UCARE GLASSES PROVIDER NU |
| 5C705GR | Other | MN | BCBS GLASSES PROV. NUMBER |
Other names 1
- MELROSE EYE CLINIC
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MN
Enrollment records 2
Other NPIs with the same Medicare PAC ID 1
NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).
-
dba Albany Eye Clinic
- Optometrist
- Albany, MN
- NPI 1326159476
2163461807
Other NPIs on the same Medicare enrollment 1
NPIs listed together on one Medicare enrollment, typically parts of the same organization.
-
dba Albany Eye Clinic
- Optometrist
- Albany, MN
- NPI 1326159476
O20071107000350
Laboratory certificates & supplier records
Derived by NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
Medicare medical equipment & supply locations
| Supplier | Supplies | Medicare assignment |
|---|---|---|
| Melrose Eye Clinic | Prosthetic Lenses: Conventional Eyeglasses|Prosthetic Lenses: Conventional Contact Lenses | Accepts assignment |
National Provider Directory
National Provider Directory- Tax ID family
- Albany Eye Clinic
Other organizations with this tax ID 1
Organizations that report the same tax identification number in the National Provider Directory.
Locations
203 Main St E
Ste B
Melrose, MN 56352
Phone (320) 256-4000
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Optometrist
- Melrose, MN
- NPI 1366456014
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1157673600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1271894400000",
"number": "1497859813",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "203 E MAIN ST STE B",
"city": "MELROSE",
"state": "MN",
"postal_code": "563521485",
"telephone_number": "320-256-4000",
"fax_number": "320-256-4002"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "203 E MAIN ST STE B",
"city": "MELROSE",
"state": "MN",
"postal_code": "563521485",
"telephone_number": "320-256-4000",
"fax_number": "320-256-4002"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "OPTOMETRY 2000 VISION CARE, INC",
"organizational_subpart": "NO",
"enumeration_date": "2006-09-08",
"last_updated": "2010-04-22",
"status": "A",
"authorized_official_last_name": "GROETSCH",
"authorized_official_first_name": "RICKY",
"authorized_official_middle_name": "FRANCIS",
"authorized_official_title_or_position": "OPTOMETRIST",
"authorized_official_telephone_number": "320-256-4000",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "O.D."
},
"taxonomies": [
{
"code": "152W00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Optometrist",
"state": "MN",
"license": "MN2082",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RAILROAD MEDICARE PROV. N",
"identifier": "410049128",
"state": "MN"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "EYEMED PROVIDER NUMBER",
"identifier": "MN2082",
"state": "MN"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "380225600",
"state": "MN"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICA GLASSES PROV. NUMB",
"identifier": "21-00019",
"state": "MN"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "UCARE GLASSES PROVIDER NU",
"identifier": "115186",
"state": "MN"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS GLASSES PROV. NUMBER",
"identifier": "5C705GR",
"state": "MN"
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "MELROSE EYE CLINIC",
"code": "3",
"type": "Doing Business As"
}
]
}Other providers in Melrose, MN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 22, 2010; 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.