Organization Active NPI

West Metro Optical, LLP

  • Durable Medical Equipment & Medical Supplies
  • Plymouth, MN
National Provider Identifier
1558414995
Registry record updated May 15, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X
Legal business name
WEST METRO OPTICAL, LLP
Practice address
15655 37TH Ave N Ste 200
Plymouth, MN 55446-4008
Phone
(763) 777-6333
Fax
(763) 553-0891
NPI assigned
Jan 19, 2007
Last updated
May 15, 2023By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 15, 2023

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

Authorized official

Name
Dr. Charles Yancey, M.D.
Title
Owner
Phone
(763) 777-6333

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Durable Medical Equipment & Medical Supplies 332B00000X Primary

Addresses

Primary practice location

15655 37TH Ave N Ste 200
Plymouth, MN 55446-4008

Mailing address

15655 37TH Ave N Ste 200
Plymouth, MN 55446-4008
Phone (763) 777-6333

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

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.

NPI Registry JSON

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

{
    "created_epoch": "1169164800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1684108800000",
    "number": "1558414995",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15655 37TH AVE N STE 200",
            "city": "PLYMOUTH",
            "state": "MN",
            "postal_code": "554464008",
            "telephone_number": "763-777-6333",
            "fax_number": "763-553-0891"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15655 37TH AVE N STE 200",
            "city": "PLYMOUTH",
            "state": "MN",
            "postal_code": "554464008",
            "telephone_number": "763-777-6333",
            "fax_number": "763-553-0891"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WEST METRO OPTICAL, LLP",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-19",
        "last_updated": "2023-05-15",
        "certification_date": "2023-05-15",
        "status": "A",
        "authorized_official_last_name": "YANCEY",
        "authorized_official_first_name": "CHARLES",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "763-777-6333",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Plymouth, MN

Sources for this page

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