Steven P Consoer

Primary specialty

OptometristTaxonomy code 152W00000X

License

1764 Issued in MN

Legal business name

STEVEN P CONSOER

Doing business as

Shakopee Vision Clinic

Practice address

1731 17TH Ave E
Shakopee, MN 55379-3372

Phone

(952) 445-5600

Fax

(952) 445-5629

NPI assigned

Jan 18, 2007

Organization subpart

Yes

Parent organization

STEVEN P CONSOERAs reported in NPPES

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

Authorized official

Name

Ms. Christine M Ossmo

Title

Manager

Phone

(952) 884-8338

Specialties & licenses 1

Addresses

Other names 1

• Shakopee Vision Clinic Doing business as

Part of

Oxboro Eye Clinic

Locations

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

{
    "created_epoch": "1169078400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1250726400000",
    "number": "1649323320",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1731 17TH AVE E",
            "city": "SHAKOPEE",
            "state": "MN",
            "postal_code": "553793372",
            "telephone_number": "952-445-5600",
            "fax_number": "952-445-5629"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1731 17TH AVE E",
            "city": "SHAKOPEE",
            "state": "MN",
            "postal_code": "553793372",
            "telephone_number": "952-445-5600",
            "fax_number": "952-445-5629"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "STEVEN P CONSOER",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "STEVEN P CONSOER",
        "enumeration_date": "2007-01-18",
        "last_updated": "2009-08-20",
        "status": "A",
        "authorized_official_last_name": "OSSMO",
        "authorized_official_first_name": "CHRISTINE",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "952-884-8338",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": "MN",
            "license": "1764",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Shakopee Vision Clinic",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Optometrist in Shakopee, MN
• Providers in Shakopee, MN by specialty
• Optometrist in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 20, 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.