NPIMap

Organization Active NPI

Teleoptometric Service, P.C.

  • Optometrist
  • Apple Valley, MN
National Provider Identifier
1508795659
Registry record updated May 15, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
Legal business name
TELEOPTOMETRIC SERVICE, P.C.
Practice address
14940 Florence TRL
Apple Valley, MN 55124-4628
Phone
(952) 432-7138
NPI assigned
May 15, 2026
Organization subpart
Yes
Parent organization
TELEOPTOMETRIC SERVICE, P.C.As reported in NPPES

NPPES NPI Registry

Updated by the provider on May 15, 2026

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

Authorized official

Name
Susan L Christopher-Brand
Title
Credentialing Manager
Phone
(703) 314-8795

Specialties & licenses 1

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

Addresses

Primary practice location

14940 Florence TRL
Apple Valley, MN 55124-4628

Mailing address

5 Dakota Dr Ste 307
New Hyde Park, NY 11042-1106
Phone (380) 223-3412

National Provider Directory

National Provider Directory
Tax ID family
Teleoptometric Service PC17 organizations share this tax ID, including this one
Part of
Teleoptometric Service PC

Other organizations with this tax ID 16

Organizations that report the same tax identification number in the National Provider Directory.

View all 16

NPI Registry JSON

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

{
    "created_epoch": "1778803200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1778803200000",
    "number": "1508795659",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5 DAKOTA DR STE 307",
            "city": "NEW HYDE PARK",
            "state": "NY",
            "postal_code": "110421106",
            "telephone_number": "380-223-3412"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14940 FLORENCE TRL",
            "city": "APPLE VALLEY",
            "state": "MN",
            "postal_code": "551244628",
            "telephone_number": "952-432-7138"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TELEOPTOMETRIC SERVICE, P.C.",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "TELEOPTOMETRIC SERVICE, P.C.",
        "enumeration_date": "2026-05-15",
        "last_updated": "2026-05-15",
        "certification_date": "2026-05-15",
        "status": "A",
        "authorized_official_last_name": "CHRISTOPHER-BRAND",
        "authorized_official_first_name": "SUSAN",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "CREDENTIALING MANAGER",
        "authorized_official_telephone_number": "703-314-8795"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Apple Valley, MN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 15, 2026; 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.