NPIMap

Organization Active NPI

Eye 2 Eye Optical

  • Eyewear Supplier
  • Fergus Falls, MN
National Provider Identifier
1609514637
Registry record updated May 23, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Eyewear SupplierTaxonomy code 332H00000X
Legal business name
EYE 2 EYE OPTICAL
Practice address
210 N Cascade St
Fergus Falls, MN 56537-2253
Phone
(218) 998-3937
Fax
(218) 998-3938
NPI assigned
May 20, 2022
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 23, 2022

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

Authorized official

Name
David Grant Gaustad, ABO OPTICIANNPI 1720316409
Title
Owner
Phone
(218) 998-3937

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Eyewear Supplier 332H00000X Primary

Addresses

Primary practice location

210 N Cascade St
Fergus Falls, MN 56537-2253

Mailing address

210 N Cascade St
Fergus Falls, MN 56537-2253
Phone (218) 998-3937

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1653004800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1653264000000",
    "number": "1609514637",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "210 N CASCADE ST",
            "city": "FERGUS FALLS",
            "state": "MN",
            "postal_code": "565372253",
            "telephone_number": "218-998-3937",
            "fax_number": "218-998-3938"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "210 N CASCADE ST",
            "city": "FERGUS FALLS",
            "state": "MN",
            "postal_code": "565372253",
            "telephone_number": "218-998-3937",
            "fax_number": "218-998-3938"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EYE 2 EYE OPTICAL",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-05-20",
        "last_updated": "2022-05-23",
        "certification_date": "2022-05-23",
        "status": "A",
        "authorized_official_last_name": "GAUSTAD",
        "authorized_official_first_name": "DAVID",
        "authorized_official_middle_name": "GRANT",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "218-998-3937",
        "authorized_official_credential": "ABO OPTICIAN"
    },
    "taxonomies": [
        {
            "code": "332H00000X",
            "taxonomy_group": "",
            "desc": "Eyewear Supplier",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fergus Falls, MN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 23, 2022; 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.