Organization Active NPI

Perspectives Optometric Vision Clinic, PC

Doing business as Perspectives Vision Clinic

  • Optometrist
  • Richfield, MN
National Provider Identifier
1629277082
Registry record updated Jul 16, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
MN3027 Issued in MN
Legal business name
PERSPECTIVES OPTOMETRIC VISION CLINIC, PC
Doing business as
Perspectives Vision Clinic
Practice address
6601 Lyndale Ave S
Richfield, MN 55423-2477
Phone
(612) 270-3261
NPI assigned
Jul 16, 2007
Last updated
Jul 16, 2007By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 16, 2007

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

Authorized official

Name
Dr. Marcie Mathes Nichols, ODNPI 1235241993
Title
Optometrist, President, Ceo
Phone
(612) 270-3261

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
Optometrist 152W00000X MN3027 MN Primary

Addresses

Primary practice location

6601 Lyndale Ave S
Richfield, MN 55423-2477

Mailing address

6601 Lyndale Ave S
Richfield, MN 55423-2477

Other names 1

  • Perspectives Vision Clinic Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MN

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20080410000215 MN Part B Supplier - Clinic/Group Practice 8426135757 Receives reassigned benefits from 4 practitioners
Practice locations: Minneapolis, MN

National Provider Directory

National Provider Directory

Locations

3100 W 50th St
Ste 103
Minneapolis, MN 55410
Phone (612) 270-3261

3102 W 50th St
Minneapolis, MN 55410
Phone (612) 920-3938

Practitioners & affiliated clinicians

Practitioners 6

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.

NPI Registry JSON

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

{
    "created_epoch": "1184544000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1184544000000",
    "number": "1629277082",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6601 LYNDALE AVE S",
            "city": "RICHFIELD",
            "state": "MN",
            "postal_code": "554232477"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6601 LYNDALE AVE S",
            "city": "RICHFIELD",
            "state": "MN",
            "postal_code": "554232477",
            "telephone_number": "612-270-3261"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PERSPECTIVES OPTOMETRIC VISION CLINIC, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-07-16",
        "last_updated": "2007-07-16",
        "status": "A",
        "authorized_official_last_name": "NICHOLS",
        "authorized_official_first_name": "MARCIE",
        "authorized_official_middle_name": "MATHES",
        "authorized_official_title_or_position": "OPTOMETRIST, PRESIDENT, CEO",
        "authorized_official_telephone_number": "612-270-3261",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "OD"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "MN",
            "license": "MN3027",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Perspectives Vision Clinic",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Richfield, MN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 16, 2007; 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.