Organization Active NPI

Steven P Consoer

  • Optometrist
  • Bloomington, MN
National Provider Identifier
1508046756
Registry record updated Jul 8, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
1764 Issued in MN
Legal business name
STEVEN P CONSOER
Doing business as
Oxboro Eye Clinic
Practice address
9721 Lyndale Ave S
Bloomington, MN 55420-4232
Phone
(952) 884-8338
Fax
(952) 884-4599
NPI assigned
Nov 5, 2007
Organization subpart
Yes
Parent organization
STEVEN P CONSOERAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Jul 8, 2009

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

Authorized official

Name
Ms. Chris Ossmo
Title
MGR
Phone
(952) 884-8338

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
OptometristGroup: 193400000X SINGLE SPECIALTY GROUP 152W00000X 1764 MN Primary

Addresses

Primary practice location

9721 Lyndale Ave S
Bloomington, MN 55420-4232

Mailing address

9721 Lyndale Ave S
Bloomington, MN 55420-4232
Phone (952) 884-8338

Other names 1

  • Oxboro Eye Clinic Doing business as

National Provider Directory

National Provider Directory
Part of
Oxboro Eye Clinic

NPI Registry JSON

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

{
    "created_epoch": "1194220800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1247011200000",
    "number": "1508046756",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9721 LYNDALE AVE S",
            "city": "BLOOMINGTON",
            "state": "MN",
            "postal_code": "554204232",
            "telephone_number": "952-884-8338",
            "fax_number": "952-884-4599"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9721 LYNDALE AVE S",
            "city": "BLOOMINGTON",
            "state": "MN",
            "postal_code": "554204232",
            "telephone_number": "952-884-8338",
            "fax_number": "952-884-4599"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "STEVEN P CONSOER",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "STEVEN P CONSOER",
        "enumeration_date": "2007-11-05",
        "last_updated": "2009-07-08",
        "status": "A",
        "authorized_official_last_name": "OSSMO",
        "authorized_official_first_name": "CHRIS",
        "authorized_official_title_or_position": "MGR",
        "authorized_official_telephone_number": "952-884-8338",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": "MN",
            "license": "1764",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Oxboro Eye Clinic",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Bloomington, MN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2009; 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.