Optometric Services, LLC

Primary specialty

OptometristTaxonomy code 152W00000X

License

2258 Issued in MN

Legal business name

OPTOMETRIC SERVICES, LLC

Practice address

406 Rosedale Center
Pearle Vision Express
Roseville, MN 55113

Phone

(651) 631-9394

NPI assigned

Jan 22, 2007

Last updated

Aug 22, 2020By 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

Dr. Thomas Joseph Meyer, ODNPI 1265500730

Title

Optometrist

Phone

(651) 592-8422

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in MN

Enrollment records 1

Tax ID family

Optometric Services LLC2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

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

• Optometric Services, LLC.

  • Optometrist
  • West St Paul, MN
  • NPI 1902049943
  NPD tax ID

Locations

Practitioners 11

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.

• Thomas Joseph Meyer, OD

  • Optometrist
  • Roseville, MN
  • NPI 1265500730
  Medicare reassignment NPD Authorized official
• David John Hansen, OD

  • Optometrist
  • Roseville, MN
  • NPI 1710047865
  Medicare reassignment NPD
• Taylor Lauermann, OD

  • Optometrist
  • Woodbury, MN
  • NPI 1083238836
  Medicare reassignment NPD
• Matheus M Ozbek

  • Optometrist
  • Burnsville, MN
  • NPI 1912567876
  Medicare reassignment NPD
• Amanda Ann Pojanowski, O.D.

  • Optometrist
  • Richfield, MN
  • NPI 1528310869
  Medicare reassignment NPD
• Kia Yang, OD

  • Optometrist
  • Shiprock, NM
  • NPI 1124687884

  MN

  Medicare reassignment NPD
• Elliott Dale Brubaker, O.D.

  • Optometrist
  • Eagan, MN
  • NPI 1508969403
  NPD
• Jessica Chiyoko Fedor, O.D.

  • Optometrist
  • Coon Rapids, MN
  • NPI 1801980537
  NPD (past)
• Laura L Flockencier, O.D.

  • Optometrist
  • West St Paul, MN
  • NPI 1194929505
  NPD (past)
• Kaitlyn Huebsch Hollenbach, OD, FAAO

  • Optometrist
  • Saint Paul, MN
  • NPI 1689154429
  NPD (past)
• Amanda Howes McMullen, OD

  • Optometrist
  • Apple Valley, MN
  • NPI 1124506852
  NPD (past)

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

{
    "created_epoch": "1169424000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1518010495",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3468 SAVANNAH AVE",
            "city": "WHITE BEAR LAKE",
            "state": "MN",
            "postal_code": "551104579",
            "telephone_number": "651-592-8422"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "406 ROSEDALE CENTER",
            "address_2": "PEARLE VISION EXPRESS",
            "city": "ROSEVILLE",
            "state": "MN",
            "postal_code": "55113",
            "telephone_number": "651-631-9394"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OPTOMETRIC SERVICES, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-22",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "MEYER",
        "authorized_official_first_name": "THOMAS",
        "authorized_official_middle_name": "JOSEPH",
        "authorized_official_title_or_position": "OPTOMETRIST",
        "authorized_official_telephone_number": "651-592-8422",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "OD"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "MN",
            "license": "2258",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Rachael Marie Opseth
• Optage Inc (Eaglecrest)
• Optage Primary Care, LLC
• Option Care Enterprises, Inc. (Option Care)
• Option Care Enterprises, Inc. (Option Care)
• Optum Infusion Services 500, Inc.
• Samantha Oren, LGSW
• Orthodontic Specialists of Minnesota, PLLC (The Dental Specialists - Orthodontics)
• Hallie Orton, MSW, LICSW
• Heidi M Osborn, R.N.

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.