Active NPI
For Your Eyes Only
- Optometrist
- Osseo, MN
National Provider Identifier
1679640221
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- License
- 1670
- Legal business name
- FOR YOUR EYES ONLY
- Practice address
- 20 Central Ave
Osseo, MN 55369-1241 - Phone
- (763) 424-1206
- Fax
- (763) 424-6838
- NPI assigned
- Nov 29, 2006
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Alan G Schneider
- Title
- Manager
- Phone
- (763) 424-1206
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Optometrist | 152W00000X | 1670 | MN | Primary |
| Eyewear Supplier | 332H00000X |
Addresses
Primary practice location
20 Central Ave
Osseo, MN 55369-1241
Mailing address
20 Central Ave
Osseo, MN 55369-1241
Phone (763) 424-1206
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 564723100 | Medicaid | MN |
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Optometrist
- Osseo, MN
- NPI 1699768127
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1164758400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1216166400000",
"number": "1679640221",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "20 CENTRAL AVE",
"city": "OSSEO",
"state": "MN",
"postal_code": "553691241",
"telephone_number": "763-424-1206",
"fax_number": "763-424-6838"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "20 CENTRAL AVE",
"city": "OSSEO",
"state": "MN",
"postal_code": "553691241",
"telephone_number": "763-424-1206",
"fax_number": "763-424-6838"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "FOR YOUR EYES ONLY",
"organizational_subpart": "NO",
"enumeration_date": "2006-11-29",
"last_updated": "2008-07-16",
"status": "A",
"authorized_official_last_name": "SCHNEIDER",
"authorized_official_first_name": "ALAN",
"authorized_official_middle_name": "G",
"authorized_official_title_or_position": "MANAGER",
"authorized_official_telephone_number": "763-424-1206"
},
"taxonomies": [
{
"code": "152W00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Optometrist",
"state": "MN",
"license": "1670",
"primary": true
},
{
"code": "332H00000X",
"taxonomy_group": "",
"desc": "Eyewear Supplier",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "564723100",
"state": "MN"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Osseo, MN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 16, 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.