Family Eye Clinic & Contact Lens Center

Primary specialty

OptometristTaxonomy code 152W00000X

Legal business name

FAMILY EYE CLINIC & CONTACT LENS CENTER

Practice address

3822 West Old Shakopee Road
Bloomington, MN 55431-3538

Phone

(952) 884-4366

Fax

(952) 884-4809

NPI assigned

Jun 26, 2006

Organization subpart

No

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

Authorized official

Name

Gloria Reese

Title

Biller

Phone

(952) 934-6926

Specialties & licenses 1

Addresses

Other identifiers 4

Medicare fee-for-service enrollment

Enrolled in MN

Enrollment records 1

Other NPIs on the same Medicare enrollment 2

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

• Family Eye Clinic & Contact Lens Center

  • Optometrist
  • Eden Prairie, MN
  • NPI 1780671321

  O20060406000267

  Same enrollment
• Family Eye Clinic & Contact Lens Center

  • Optometrist
  • Wayzata, MN
  • NPI 1932158375

  O20060406000267

  Same enrollment

Tax ID family

Family Eye Clinic Contact Lens Center3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

Organizations that report the same tax identification number in the National Provider Directory.

• Family Eye Clinic & Contact Lens Center

  • Optometrist
  • Eden Prairie, MN
  • NPI 1780671321
  NPD tax ID
• Family Eye Clinic & Contact Lens Center

  • Optometrist
  • Wayzata, MN
  • NPI 1932158375
  NPD tax ID

Locations

Practitioners 1

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

• Lisa Anne Dawson-Clausen, O.D.

  • Optometrist
  • Prior Lake, MN
  • NPI 1003803677
  NPD (past)

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

{
    "created_epoch": "1151280000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1719792000000",
    "number": "1689600900",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3822 WEST OLD SHAKOPEE RD",
            "city": "BLOOMINGTON",
            "state": "MN",
            "postal_code": "554313538",
            "telephone_number": "952-884-4366",
            "fax_number": "952-884-4809"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3822 WEST OLD SHAKOPEE ROAD",
            "city": "BLOOMINGTON",
            "state": "MN",
            "postal_code": "554313538",
            "telephone_number": "952-884-4366",
            "fax_number": "952-884-4809"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FAMILY EYE CLINIC & CONTACT LENS CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-06-26",
        "last_updated": "2024-07-01",
        "certification_date": "2024-07-01",
        "status": "A",
        "authorized_official_last_name": "REESE",
        "authorized_official_first_name": "GLORIA",
        "authorized_official_title_or_position": "BILLER",
        "authorized_official_telephone_number": "952-934-6926"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Optometrist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PREFERRED ONE",
            "identifier": "01012099",
            "state": "MN"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3687422-00",
            "state": "MN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "4C791FA",
            "state": "MN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAIL ROAD MEDICARE",
            "identifier": "CF8810",
            "state": "MN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Kaihan Fakhar
• Omowonuola Falae
• Emily Falch, MD
• Kelsey Kay Falzone, PA
• Family & Children'S Service
• Family Tree Acupuncture
• Famy Transportation
• Abdifitah Abdihamid Farah
• Abdullahi Farah
• Abdulrahman Farah

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 1, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.