Vision Optical Inc.

Primary specialty

OptometristTaxonomy code 152W00000X

License

2349 Issued in MN

Legal business name

VISION OPTICAL INC.

Practice address

426 NW 4TH St
Grand Rapids, MN 55744-2582

Phone

(218) 326-1775

Fax

(218) 326-3745

NPI assigned

Jan 4, 2007

Organization subpart

No

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

Authorized official

Name

Paul Lee Dubbels, O.D.

Title

President

Phone

(218) 326-1775

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1167868800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1228953600000",
    "number": "1649327693",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "426 NW 4TH ST",
            "city": "GRAND RAPIDS",
            "state": "MN",
            "postal_code": "557442582",
            "telephone_number": "218-326-1775",
            "fax_number": "218-326-3745"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "426 NW 4TH ST",
            "city": "GRAND RAPIDS",
            "state": "MN",
            "postal_code": "557442582",
            "telephone_number": "218-326-1775",
            "fax_number": "218-326-3745"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VISION OPTICAL INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-04",
        "last_updated": "2008-12-11",
        "status": "A",
        "authorized_official_last_name": "DUBBELS",
        "authorized_official_first_name": "PAUL",
        "authorized_official_middle_name": "LEE",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "218-326-1775",
        "authorized_official_credential": "O.D."
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": "MN",
            "license": "2349",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Victoria Beck, MSW, Licsw LLC
• Mischelle Louise Vietanen, PSY.D.
• Crystal Cecile Vilen, LICSW
• Rosetta K. Villeneuve, NP
• Thomas J. Viren, MD
• Vision Pro II, Inc
• Walgreen Co
• Brea Wallaker
• Tyler Wesley Waller, PHARMD.
• Walmart Inc.

• All providers in Grand Rapids, MN
• Optometrist in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 11, 2008; 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.