Active NPI
Preferred Eyecare, Inc.
- Optometrist
- Baxter, MN
National Provider Identifier
1578830410
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- License
- 3152
- Legal business name
- PREFERRED EYECARE, INC.
- Practice address
- 7295 Glory Rd
Walmart Vision Center 1654
Baxter, MN 56425-7308 - Phone
- (218) 829-3848
- NPI assigned
- Nov 21, 2011
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. William D. Hammer, O.D.
- Title
- Optometrist / Owner
- Phone
- (218) 829-2607
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Optometrist | 152W00000X | 3152 | MN | Primary |
Addresses
Primary practice location
7295 Glory Rd
Walmart Vision Center 1654
Baxter, MN 56425-7308
Mailing address
PO Box 942
Brainerd, MN 56401-0942
Phone (218) 829-2607
National Provider Directory
National Provider DirectoryLocations
7295 Glory Rd
#1654
Baxter, MN 56425
Phone (218) 829-3848
15091 18th St NE
Little Falls, MN 56345
Phone (320) 632-3644
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1321833600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1321833600000",
"number": "1578830410",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 942",
"city": "BRAINERD",
"state": "MN",
"postal_code": "564010942",
"telephone_number": "218-829-2607"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "7295 GLORY RD",
"address_2": "WALMART VISION CENTER 1654",
"city": "BAXTER",
"state": "MN",
"postal_code": "564257308",
"telephone_number": "218-829-3848"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "PREFERRED EYECARE, INC.",
"organizational_subpart": "NO",
"enumeration_date": "2011-11-21",
"last_updated": "2011-11-21",
"status": "A",
"authorized_official_last_name": "HAMMER",
"authorized_official_first_name": "WILLIAM",
"authorized_official_middle_name": "D.",
"authorized_official_title_or_position": "OPTOMETRIST / OWNER",
"authorized_official_telephone_number": "218-829-2607",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "O.D."
},
"taxonomies": [
{
"code": "152W00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Optometrist",
"state": "MN",
"license": "3152",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Baxter, MN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 21, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.