Blue Earth Valley Eye Clinic LTD

Primary specialty

Clinic/CenterTaxonomy code 261Q00000X

Legal business name

BLUE EARTH VALLEY EYE CLINIC LTD

Practice address

21 Main Street South
Winnebago, MN 56098

Phone

(507) 893-4532

Fax

(507) 893-4854

NPI assigned

Sep 1, 2006

Organization subpart

No

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

Authorized official

Name

Brent Daniel JohnsonNPI 1689667875

Title

President

Phone

(507) 893-4532

Specialties & licenses 1

Addresses

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Brent Daniel Johnson, OD

  • Optometrist
  • Blue Earth, MN
  • NPI 1689667875
  NPD Authorized official

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

{
    "created_epoch": "1157068800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1679675680",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 717",
            "city": "WINNEBAGO",
            "state": "MN",
            "postal_code": "56098",
            "telephone_number": "507-893-4532",
            "fax_number": "507-893-4854"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "21 MAIN STREET SOUTH",
            "city": "WINNEBAGO",
            "state": "MN",
            "postal_code": "56098",
            "telephone_number": "507-893-4532",
            "fax_number": "507-893-4854"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BLUE EARTH VALLEY EYE CLINIC LTD",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-09-01",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "JOHNSON",
        "authorized_official_first_name": "BRENT",
        "authorized_official_middle_name": "DANIEL",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "507-893-4532"
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kevin Douglas Arndt, DC
• City of Winnebago
• Complete Wellness Chiropractic PLLC
• Sydney Coxworth, DC
• Espeland Van Service, Inc.
• Family Chiropractic Office

• All providers in Winnebago, MN
• Clinic/Center in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.