Mastel Made Artisan Eyewear LLC.

Primary specialty

OpticianTaxonomy code 156FX1800X

Legal business name

MASTEL MADE ARTISAN EYEWEAR LLC.

Practice address

3923 7TH St S
Moorhead, MN 56560-5642

Phone

(701) 361-5276

NPI assigned

Jul 20, 2023

Organization subpart

No

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

Authorized official

Name

Mr. Sean Michael Mastel, ABOC

Title

Owner/Optician

Phone

(701) 361-5276

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1689811200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1689811200000",
    "number": "1528748928",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3923 7TH ST S",
            "city": "MOORHEAD",
            "state": "MN",
            "postal_code": "565605642",
            "telephone_number": "701-361-5276"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3923 7TH ST S",
            "city": "MOORHEAD",
            "state": "MN",
            "postal_code": "565605642",
            "telephone_number": "701-361-5276"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MASTEL MADE ARTISAN EYEWEAR LLC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-07-20",
        "last_updated": "2023-07-20",
        "certification_date": "2023-07-20",
        "status": "A",
        "authorized_official_last_name": "MASTEL",
        "authorized_official_first_name": "SEAN",
        "authorized_official_middle_name": "MICHAEL",
        "authorized_official_title_or_position": "OWNER/OPTICIAN",
        "authorized_official_telephone_number": "701-361-5276",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "ABOC"
    },
    "taxonomies": [
        {
            "code": "156FX1800X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Technician/Technologist, Optician",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Optician in Moorhead, MN
• Providers in Moorhead, MN by specialty
• Optician in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 20, 2023; 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.