North Suburban Eye Specialists, LLP

Primary specialty

Ophthalmology PhysicianTaxonomy code 207W00000X

Legal business name

NORTH SUBURBAN EYE SPECIALISTS, LLP

Practice address

3790 Coon Rapids Blvd NW
Coon Rapids, MN 55433-2629

Phone

(763) 421-7420

Fax

(763) 421-0730

NPI assigned

Jun 22, 2007

Organization subpart

No

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

Authorized official

Name

Delta Jorgensen

Title

Practice Administrator

Phone

(763) 421-7420

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.

• Mark Lobanoff, M.D.

  • Ophthalmology Physician
  • St Louis Park, MN
  • NPI 1205870045
  NPD

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

{
    "created_epoch": "1182470400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1689870156",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11855 ULYSSES ST.",
            "address_2": "SUITE 140",
            "city": "BLAINE",
            "state": "MN",
            "postal_code": "55434",
            "telephone_number": "763-421-7420",
            "fax_number": "763-421-0730"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3790 COON RAPIDS BLVD NW",
            "city": "COON RAPIDS",
            "state": "MN",
            "postal_code": "554332629",
            "telephone_number": "763-421-7420",
            "fax_number": "763-421-0730"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NORTH SUBURBAN EYE SPECIALISTS, LLP",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-06-22",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "JORGENSEN",
        "authorized_official_first_name": "DELTA",
        "authorized_official_title_or_position": "PRACTICE ADMINISTRATOR",
        "authorized_official_telephone_number": "763-421-7420"
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Ophthalmology",
            "state": "MN",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• North Cities Health Care, Inc (Park River Estates Care Center)
• North Metro Orthotics and Prosthetics, Inc
• North Suburban Chiropractic Clinic P.a.
• North Suburban Counseling Center
• North Suburban Counseling Ctr
• North Suburban Optical (Optical Studios)
• North Suburban Urology of Coon Rapids, Inc.
• Northdale Dentist PA
• Northern OB GYN Associates PC (Northern Ob/Gyn Associates)
• Northern Pines Counseling Center, Inc.

• Ophthalmology Physician in Coon Rapids, MN
• Providers in Coon Rapids, MN by specialty
• Ophthalmology Physician 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.