Southwest Eye Care Inc

Primary specialty

Ophthalmology PhysicianTaxonomy code 207W00000X

License

51388 Issued in MN

Legal business name

SOUTHWEST EYE CARE INC

Practice address

1200 Chaska Creek Way
Suite 110
Chaska, MN 55318-2525

Phone

(952) 466-3937

Fax

(952) 466-3936

NPI assigned

Jan 11, 2007

Last updated

Jan 15, 2020By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Christopher Freed, O.D.NPI 1770631889

Title

Optometrist

Phone

(952) 466-3937

Specialties & licenses 3

Addresses

Other identifiers 7

Medicare fee-for-service enrollment

Enrolled in MN2 enrollments

Enrollment records 2

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Medicare medical equipment & supply locations

Locations

Interoperability endpoints

• Direct secure messaging: anyquist@sweyecaremn.intellechartdirect.net
• Direct secure messaging: awortz@sweyecaremn.intellechartdirect.net
• Direct secure messaging: cwallyn@sweyecaremn.intellechartdirect.net
• Direct secure messaging: mmerck@sweyecaremn.intellechartdirect.net

Practitioners 16

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.

• Christopher J Freed, O.D.

  • Optometrist
  • Chaska, MN
  • NPI 1770631889
  Medicare reassignment NPD Authorized official
• Tara Rae Barth, O.D.

  • Corneal and Contact Management Optometrist
  • Bloomington, MN
  • NPI 1548499676
  Medicare reassignment NPD
• Chad R. Dockter, OD

  • Optometrist
  • Eden Prairie, MN
  • NPI 1104975762
  Medicare reassignment NPD
• Amy Jean Freed, O.D.

  • Optometrist
  • Chaska, MN
  • NPI 1881741213
  Medicare reassignment NPD
• Scott A Glaser, O.D.

  • Optometrist
  • Hutchinson, MN
  • NPI 1487644969
  Medicare reassignment NPD
• Jabin G Krassin

  • Ophthalmology Physician
  • Hastings, MN
  • NPI 1801092960
  Medicare reassignment NPD
• Vicki Sue Luehmann, O.D.

  • Optometrist
  • Maple Grove, MN
  • NPI 1942399456
  Medicare reassignment NPD
• Kasie Jean Mix, O.D., M.S.

  • Optometrist
  • Shakopee, MN
  • NPI 1407109275
  Medicare reassignment NPD
• Heidi Noel Skonseng, O.D.

  • Optometrist
  • St Louis Park, MN
  • NPI 1952500951
  Medicare reassignment NPD
• Aubree Thorseth, OD

  • Optometrist
  • Glencoe, MN
  • NPI 1104481985
  Medicare reassignment NPD
• Mark W Wellnitz, O.D.

  • Optometrist
  • Glencoe, MN
  • NPI 1528374600
  Medicare reassignment NPD
• Michael P Merck, MD

  • Ophthalmology Physician
  • Hutchison, MN
  • NPI 1033199328
  NPD

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

{
    "created_epoch": "1168473600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1579046400000",
    "number": "1679623862",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1200 CHASKA CREEK WAY",
            "address_2": "SUITE 110",
            "city": "CHASKA",
            "state": "MN",
            "postal_code": "553182525",
            "telephone_number": "952-466-3937",
            "fax_number": "952-466-3936"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1200 CHASKA CREEK WAY",
            "address_2": "SUITE 110",
            "city": "CHASKA",
            "state": "MN",
            "postal_code": "553182525",
            "telephone_number": "952-466-3937",
            "fax_number": "952-466-3936"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "204 Lewis Ave S Ste 102",
            "address_purpose": "LOCATION",
            "city": "Watertown",
            "state": "MN",
            "postal_code": "553884501",
            "country_code": "US",
            "telephone_number": "952-955-3553",
            "fax_number": "952-955-1900",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "304 W Highway 212",
            "address_purpose": "LOCATION",
            "city": "Norwood Young America",
            "state": "MN",
            "postal_code": "553689775",
            "country_code": "US",
            "telephone_number": "952-467-2250",
            "fax_number": "952-467-2270",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2204 Commerce Blvd",
            "address_purpose": "LOCATION",
            "city": "Mound",
            "state": "MN",
            "postal_code": "553641547",
            "country_code": "US",
            "telephone_number": "952-472-3937",
            "fax_number": "952-472-7487",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "13550 Wayzata Blvd",
            "address_purpose": "LOCATION",
            "city": "Minnetonka",
            "state": "MN",
            "postal_code": "553051850",
            "country_code": "US",
            "telephone_number": "952-479-6320",
            "fax_number": "952-544-0547",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "218 Main St S Ste 105",
            "address_purpose": "LOCATION",
            "city": "Hutchinson",
            "state": "MN",
            "postal_code": "553502601",
            "country_code": "US",
            "telephone_number": "320-587-2593",
            "fax_number": "320-587-5852",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1201 Greeley Ave N Ste 3",
            "address_purpose": "LOCATION",
            "city": "Glencoe",
            "state": "MN",
            "postal_code": "553362135",
            "country_code": "US",
            "telephone_number": "320-864-2020",
            "fax_number": "320-864-6678",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "741 Enterprise Dr E",
            "address_purpose": "LOCATION",
            "city": "Belle Plaine",
            "state": "MN",
            "postal_code": "560112339",
            "country_code": "US",
            "telephone_number": "952-495-6070",
            "fax_number": "952-873-6167",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "304 W Highway 212",
            "address_purpose": "LOCATION",
            "city": "Norwood",
            "state": "MN",
            "postal_code": "553689775",
            "country_code": "US",
            "telephone_number": "952-467-2250",
            "fax_number": "952-467-2270",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "SOUTHWEST EYE CARE INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-11",
        "last_updated": "2020-01-15",
        "certification_date": "2020-01-15",
        "status": "A",
        "authorized_official_last_name": "FREED",
        "authorized_official_first_name": "CHRISTOPHER",
        "authorized_official_title_or_position": "OPTOMETRIST",
        "authorized_official_telephone_number": "952-466-3937",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "O.D."
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Optometrist",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "156FX1800X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Technician/Technologist, Optician",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207W00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Ophthalmology",
            "state": "MN",
            "license": "51388",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI CHRISTOPHER FREED",
            "identifier": "1770631889",
            "state": "MN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI",
            "identifier": "1801092960",
            "state": "MN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI AMY FREED",
            "identifier": "1881741213",
            "state": "MN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI SCOTT GLASER",
            "identifier": "1487644969",
            "state": "MN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI PATTY JILEK",
            "identifier": "1033193198",
            "state": "MN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI CHAD DOCKTER",
            "identifier": "1104975762",
            "state": "MN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI BERNIE ROTTACH",
            "identifier": "1427052323",
            "state": "MN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Ophthalmology Physician in Chaska, MN
• Providers in Chaska, MN by specialty
• Ophthalmology Physician in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 15, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.