Von Holdt Eye Care PLLC

Primary specialty

OptometristTaxonomy code 152W00000X

Legal business name

VON HOLDT EYE CARE PLLC

Doing business as

Lake Region Eye Center

Practice address

610 30TH Ave W Ste 200
Alexandria, MN 56308-3426

Phone

(320) 763-7055

Fax

(320) 763-2572

NPI assigned

Nov 19, 2019

Last updated

Nov 19, 2019By 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

Gwen K Thoennes

Title

Office Manager

Phone

(320) 763-7055

Specialties & licenses 1

Addresses

Other names 1

• Lake Region Eye Center Doing business as

Locations

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.

• David John Schneiderhan, CERTIFIED OPTICIAN

  • Optician
  • Alexandria, MN
  • NPI 1306981956
  NPD (past)

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

{
    "created_epoch": "1574121600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1574121600000",
    "number": "1508402033",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "610 30TH AVE W STE 200",
            "city": "ALEXANDRIA",
            "state": "MN",
            "postal_code": "563083426",
            "telephone_number": "320-763-7055",
            "fax_number": "320-763-2572"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "610 30TH AVE W STE 200",
            "city": "ALEXANDRIA",
            "state": "MN",
            "postal_code": "563083426",
            "telephone_number": "320-763-7055",
            "fax_number": "320-763-2572"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VON HOLDT EYE CARE PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-11-19",
        "last_updated": "2019-11-19",
        "status": "A",
        "authorized_official_last_name": "THOENNES",
        "authorized_official_first_name": "GWEN",
        "authorized_official_middle_name": "K",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "320-763-7055"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Lake Region Eye Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Melissa Marie Violette, OTR
• Vivie Health
• Laura Voight-Radtke, LP
• Lisa Ann Voigt, PSYD,LP
• Ryan James Voigt, PSYD, LP
• Thomas Vincent Wait, LICSW
• Wal-Mart Stores, Inc. (Vision Center 30-1632)
• Emily Waldorf
• Wales Hearing Center
• Gregory Dean Wales, HID

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 19, 2019; 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.