Organization Active NPI

Preferred Eyecare, Inc.

  • Optometrist
  • Baxter, MN
National Provider Identifier
1578830410
Registry record updated Nov 21, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
3152 Issued in MN
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

Updated by the provider on Nov 21, 2011

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)CodeLicenseStatePrimary
OptometristGroup: 193400000X SINGLE SPECIALTY GROUP 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 Directory

Locations

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.

Verify at the official NPI Registry.