Progressive Eye Care Associates

Primary specialty

Ophthalmology PhysicianTaxonomy code 207W00000X

License

776 Issued in MN

Legal business name

PROGRESSIVE EYE CARE ASSOCIATES

Practice address

1690 University Avenue W
#140
St Paul, MN 55104

Phone

(651) 645-3997

Fax

(651) 641-7207

NPI assigned

Apr 13, 2007

Organization subpart

No

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

Authorized official

Name

Dianna L Kent

Title

Practice Administrator

Phone

(651) 645-3997

Specialties & licenses 1

Addresses

Other identifiers 3

Locations

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

{
    "created_epoch": "1176422400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1277337600000",
    "number": "1598989089",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1690 UNIVERSITY AVENUE W",
            "address_2": "#140",
            "city": "ST PAUL",
            "state": "MN",
            "postal_code": "55104",
            "telephone_number": "651-645-3997",
            "fax_number": "651-641-7207"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1690 UNIVERSITY AVENUE W",
            "address_2": "#140",
            "city": "ST PAUL",
            "state": "MN",
            "postal_code": "55104",
            "telephone_number": "651-645-3997",
            "fax_number": "651-641-7207"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PROGRESSIVE EYE CARE ASSOCIATES",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-04-13",
        "last_updated": "2010-06-24",
        "status": "A",
        "authorized_official_last_name": "KENT",
        "authorized_official_first_name": "DIANNA",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "PRACTICE ADMINISTRATOR",
        "authorized_official_telephone_number": "651-645-3997"
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Ophthalmology",
            "state": "MN",
            "license": "776",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DMERC",
            "identifier": "0461340002",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "823212100",
            "state": "MN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "CS0820",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Janice Marie Probst, RN
• Proeyecare Associates PA
• Professional Resource Network, Inc
• Professional Resource Network, Inc
• Professional Translators & Interpreters
• Progressive Individual Resources II
• Progressive Individual Resources Inc
• Progressive Individual Resources Inc
• Progressive Wellness Center LLC
• Project Assist

• Ophthalmology Physician in St Paul, MN
• Providers in St Paul, MN by specialty
• Ophthalmology Physician in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 24, 2010; 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.