Maves Eyewear, LLC

Primary specialty

Eyewear SupplierTaxonomy code 332H00000X

License

458 Issued in ND

Legal business name

MAVES EYEWEAR, LLC

Doing business as

Maves Optical

Practice address

1101 S Columbia Rd
Grand Forks, ND 58201-4055

Phone

(701) 775-4114

NPI assigned

Mar 7, 2008

Organization subpart

No

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

Authorized official

Name

Dr. Steven P Gander, OD

Title

President

Phone

(218) 773-3438

Specialties & licenses 1

Addresses

Other names 1

• Maves Optical Doing business as

Locations

Practitioners 1

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

• Bruce A. Storhaug, O.D.

  • Optometrist
  • East Grand Forks, MN
  • NPI 1275561482
  NPD (past)

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

{
    "created_epoch": "1204848000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1250208000000",
    "number": "1629248448",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1101 S COLUMBIA RD",
            "city": "GRAND FORKS",
            "state": "ND",
            "postal_code": "582014055",
            "telephone_number": "701-775-4114"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1101 S COLUMBIA RD",
            "city": "GRAND FORKS",
            "state": "ND",
            "postal_code": "582014055",
            "telephone_number": "701-775-4114"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MAVES EYEWEAR, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-03-07",
        "last_updated": "2009-08-14",
        "status": "A",
        "authorized_official_last_name": "GANDER",
        "authorized_official_first_name": "STEVEN",
        "authorized_official_middle_name": "P",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "218-773-3438",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "OD"
    },
    "taxonomies": [
        {
            "code": "332H00000X",
            "taxonomy_group": "",
            "desc": "Eyewear Supplier",
            "state": "ND",
            "license": "458",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Maves Optical",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Jami L. Mathews, FNP-C
• Diane Marie Leslie Mathiason, RD, LRD
• Gina Renae Mathiason, NP-C
• Justin Mauch, MD
• Lindsay Maurer
• Maves Optical
• Samantha Mazurek-Petters
• Elizabeth Ann McBride, CRNA
• Rosanne McBride, PH.D.
• Lavaun M McCann, MD

• Eyewear Supplier in Grand Forks, ND
• Providers in Grand Forks, ND by specialty
• Eyewear Supplier in North Dakota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 14, 2009; 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.