Optical Outlook, P.C.

Primary specialty

OptometristTaxonomy code 152W00000X

Legal business name

OPTICAL OUTLOOK, P.C.

Practice address

1100 31St Ave SW
Suite 2
Minot, ND 58701-2007

Phone

(701) 837-0022

Fax

(701) 839-2005

NPI assigned

Jun 18, 2006

Last updated

Oct 5, 2007By 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. Bruce Allen Moen, O.D.NPI 1588694194

Title

President

Phone

(701) 837-0022

Specialties & licenses 1

Addresses

Other identifiers 2

Locations

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.

• Bruce Allen Moen, O.D.

  • Optometrist
  • Minot, ND
  • NPI 1588694194
  Authorized official Same address or phone

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

{
    "created_epoch": "1150588800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1191542400000",
    "number": "1568407153",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1100 31ST AVE SW",
            "address_2": "SUITE 2",
            "city": "MINOT",
            "state": "ND",
            "postal_code": "587012007",
            "telephone_number": "701-837-0022",
            "fax_number": "701-839-2005"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1100 31ST AVE SW",
            "address_2": "SUITE 2",
            "city": "MINOT",
            "state": "ND",
            "postal_code": "587012007",
            "telephone_number": "701-837-0022",
            "fax_number": "701-839-2005"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OPTICAL OUTLOOK, P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-06-18",
        "last_updated": "2007-10-05",
        "status": "A",
        "authorized_official_last_name": "MOEN",
        "authorized_official_first_name": "BRUCE",
        "authorized_official_middle_name": "ALLEN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "701-837-0022",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "O.D."
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS OF ND",
            "identifier": "22882",
            "state": "ND"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "60582",
            "state": "ND"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Nicholas M Olson, DO STUDENT
• Paul D Olson, MD
• Sarah C Olson
• Tracey Dawn Olson, BA
• Mathew Oommen, MD
• Orange Cab Company
• Orleen S Orem, M.S.
• James Orr
• Jennifer Mae Orr
• Katelyn Ortmann, RBT

• Optometrist in Minot, ND
• Providers in Minot, ND by specialty
• Optometrist in North Dakota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 5, 2007; 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.