Family Eyecare PA

Primary specialty

Clinic/CenterTaxonomy code 261Q00000X

Legal business name

FAMILY EYECARE PA

Practice address

3042 Hennepin Ave
Minneapolis, MN 55408-2614

Phone

(612) 822-1090

NPI assigned

May 18, 2009

Organization subpart

No

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

Authorized official

Name

Dr. David M Daly, O.D.NPI 1477632065

Title

President

Phone

(612) 819-3475

Specialties & licenses 1

Addresses

Other names 1

• EYEDEALS EYECARE PA Doing business as

Medicare fee-for-service enrollment

Enrolled in MN

Enrollment records 1

Other NPIs on the same Medicare enrollment 1

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

• Family Eyecare PA

  • Clinic/Center
  • Saint Paul, MN
  • NPI 1518192798

  O20110615000069

  Same enrollment

Locations

Practitioners 2

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

• David Daly, O.D.

  • Optometrist
  • Minneapolis, MN
  • NPI 1477632065
  Medicare reassignment Authorized official
• Joel Dennis Peterson, OD

  • Optometrist
  • Minneapolis, MN
  • NPI 1902459530
  Medicare reassignment

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

{
    "created_epoch": "1242604800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1658361600000",
    "number": "1689809873",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 8007",
            "city": "SAINT PAUL",
            "state": "MN",
            "postal_code": "551080007",
            "telephone_number": "612-819-3475"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3042 HENNEPIN AVE",
            "city": "MINNEAPOLIS",
            "state": "MN",
            "postal_code": "554082614",
            "telephone_number": "612-822-1090"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FAMILY EYECARE PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-05-18",
        "last_updated": "2022-07-21",
        "status": "A",
        "authorized_official_last_name": "DALY",
        "authorized_official_first_name": "DAVID",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "612-819-3475",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "O.D."
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": "MN",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "EYEDEALS EYECARE PA",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Family Alternatives
• Family Care Services Inc
• Family Dental Care of S MPLS PA
• Family Dental Clinic, P.a.
• Family Empire Services
• Family First Consultation Services
• Family First Transportation
• Family Focus Inc
• Family Foundation Center
• Family Home Health Care, Inc.

• Clinic/Center in Minneapolis, MN
• Providers in Minneapolis, MN by specialty
• Clinic/Center in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; 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.