NPIMap

Organization Active NPI

Don Sealock, O.D., P.a.

  • Eyewear Supplier
  • Saint Michael, MN
National Provider Identifier
1548719081
Registry record updated Sep 26, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Eyewear SupplierTaxonomy code 332H00000X
Legal business name
DON SEALOCK, O.D., P.A.
Practice address
400 Central Ave E
Saint Michael, MN 55376-9525
Phone
(763) 497-2020
Fax
(763) 497-3220
NPI assigned
Sep 26, 2016
Organization subpart
Yes
Parent organization
DON SEALOCK, O.D., P.A.As reported in NPPES

NPPES NPI Registry

Updated by the provider on Sep 26, 2016

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

Authorized official

Name
Jennie J Sealock
Title
Secr/Treas
Phone
(763) 551-0529

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Eyewear Supplier 332H00000X Primary

Addresses

Primary practice location

400 Central Ave E
Saint Michael, MN 55376-9525

Mailing address

400 Central Ave E
Saint Michael, MN 55376-9525
Phone (763) 497-2020

Other names 1

  • Eyecare Center of St. Michael Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Don Sealock OD PA10 organizations share this tax ID, including this one
Part of
Don Sealock OD PA

Other organizations with this tax ID 9

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

Ownership & related parties

Parent organization (reported in NPPES) 1

This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.

NPI Registry JSON

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

{
    "created_epoch": "1474848000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1474848000000",
    "number": "1548719081",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "400 CENTRAL AVE E",
            "city": "SAINT MICHAEL",
            "state": "MN",
            "postal_code": "553769525",
            "telephone_number": "763-497-2020",
            "fax_number": "763-497-3220"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "400 CENTRAL AVE E",
            "city": "SAINT MICHAEL",
            "state": "MN",
            "postal_code": "553769525",
            "telephone_number": "763-497-2020",
            "fax_number": "763-497-3220"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DON SEALOCK, O.D., P.A.",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "DON SEALOCK, O.D., P.A.",
        "enumeration_date": "2016-09-26",
        "last_updated": "2016-09-26",
        "status": "A",
        "authorized_official_last_name": "SEALOCK",
        "authorized_official_first_name": "JENNIE",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "SECR/TREAS",
        "authorized_official_telephone_number": "763-551-0529"
    },
    "taxonomies": [
        {
            "code": "332H00000X",
            "taxonomy_group": "",
            "desc": "Eyewear Supplier",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Eyecare Center of St. Michael",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Saint Michael, MN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 26, 2016; 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.