Optical Services Direct LLC

Primary specialty

OpticianTaxonomy code 156FX1800X

Legal business name

OPTICAL SERVICES DIRECT LLC

Practice address

10524 Kimbro Ave S
Cottage Grove, MN 55016-4150

Phone

(651) 334-9725

NPI assigned

Jul 24, 2012

Organization subpart

No

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

Authorized official

Name

Tou Lee

Title

Founder

Phone

(651) 334-9725

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1343088000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1343088000000",
    "number": "1639425952",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10524 KIMBRO AVE S",
            "city": "COTTAGE GROVE",
            "state": "MN",
            "postal_code": "550164150"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10524 KIMBRO AVE S",
            "city": "COTTAGE GROVE",
            "state": "MN",
            "postal_code": "550164150",
            "telephone_number": "651-334-9725"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OPTICAL SERVICES DIRECT LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-07-24",
        "last_updated": "2012-07-24",
        "status": "A",
        "authorized_official_last_name": "LEE",
        "authorized_official_first_name": "TOU",
        "authorized_official_title_or_position": "FOUNDER",
        "authorized_official_telephone_number": "651-334-9725"
    },
    "taxonomies": [
        {
            "code": "156FX1800X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Technician/Technologist, Optician",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Optician in Cottage Grove, MN
• Providers in Cottage Grove, MN by specialty
• Optician in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 24, 2012; 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.