Michael Rexine OD PC

Primary specialty

OptometristTaxonomy code 152W00000X

License

575 Issued in ND

Legal business name

MICHAEL REXINE OD PC

Doing business as

Eyes On Broadway
Rexine Family Eyecare

Practice address

32 Main St W
Mayville, ND 58257-1314

Phone

(701) 786-2666

Fax

(701) 786-2292

NPI assigned

Sep 18, 2007

Last updated

Feb 18, 2026By 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. Michael Kenneth Rexine, ODNPI 1700899143

Title

Owner

Phone

(701) 786-2666

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 2

• Eyes On Broadway Doing business as
• Rexine Family Eyecare Doing business as

Medicare fee-for-service enrollment

Enrolled in ND

Enrollment records 1

Locations

Practitioners 3

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.

• Michael Kenneth Rexine, OD

  • Optometrist
  • Mayville, ND
  • NPI 1700899143
  Medicare reassignment Care Compare group Authorized official
• Vanessa Manlove

  • Optometrist
  • Fargo, ND
  • NPI 1376194472
  Medicare reassignment Care Compare group NPD
• Seth Smith, OD

  • Optometrist
  • Fargo, ND
  • NPI 1629813936
  Medicare reassignment Care Compare group NPD

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

{
    "created_epoch": "1190073600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1771372800000",
    "number": "1609062272",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "32 MAIN ST W",
            "city": "MAYVILLE",
            "state": "ND",
            "postal_code": "582571314",
            "telephone_number": "701-786-2666",
            "fax_number": "701-786-2292"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "32 MAIN ST W",
            "city": "MAYVILLE",
            "state": "ND",
            "postal_code": "582571314",
            "telephone_number": "701-786-2666",
            "fax_number": "701-786-2292"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "311 Broadway N",
            "address_purpose": "LOCATION",
            "city": "Fargo",
            "state": "ND",
            "postal_code": "581024714",
            "country_code": "US",
            "telephone_number": "701-540-6444",
            "fax_number": "701-540-6441",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "MICHAEL REXINE OD PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-09-18",
        "last_updated": "2026-02-18",
        "certification_date": "2026-02-18",
        "status": "A",
        "authorized_official_last_name": "REXINE",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_middle_name": "KENNETH",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "701-786-2666",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "OD"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "ND",
            "license": "575",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "60602",
            "state": "ND"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Eyes On Broadway",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Rexine Family Eyecare",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Natasha Ann Jones
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• James G Mehus, MD
• Timothy Obrien, LAT, ATC
• Patricia Marie Ogburn
• Inez Marie Olson, LPN
• Omdalen Chiropractic Clinic PC
• Scott Edward Omdalen, DC

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 18, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.