Optometric Associates, LTD.

Primary specialty

Health Service Clinic/CenterTaxonomy code 261QH0100X

Legal business name

OPTOMETRIC ASSOCIATES, LTD.

Practice address

2024 Eden Prairie Ctr
Eden Prairie, MN 55344-6035

Phone

(952) 944-3131

Fax

(952) 944-9675

NPI assigned

May 18, 2007

Last updated

Jun 11, 2009By the provider in NPPES

Organization subpart

Yes

Parent organization

OPTOMETRIC ASSOCIATES, LTDAs reported in NPPES

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

Authorized official

Name

Dr. Jennifer ScottNPI 1588872147

Title

Vice President

Phone

(952) 944-3131

Specialties & licenses 1

Addresses

Other identifiers 2

Part of

Optometric Associates LTD

Practitioners 4

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Jennifer L Scott, O.F.

  • Optometrist
  • Eden Prairie, MN
  • NPI 1588872147
  Authorized official Same address or phone
• Robert Owen Anderson, OD

  • Optometrist
  • Apple Valley, MN
  • NPI 1083142251
  NPD
• Anthony Ray Hagerty, OD

  • Optometrist
  • Eden Prairie, MN
  • NPI 1316881980
  NPD
• Trisha Urschel, O.D.

  • Optometrist
  • Eden Prairie, MN
  • NPI 1124464045
  NPD

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

{
    "created_epoch": "1179446400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1244678400000",
    "number": "1689882268",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12577 WAYZATA BLVD",
            "city": "MINNETONKA",
            "state": "MN",
            "postal_code": "553051938",
            "telephone_number": "952-944-3131",
            "fax_number": "952-944-9675"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2024 EDEN PRAIRIE CTR",
            "city": "EDEN PRAIRIE",
            "state": "MN",
            "postal_code": "553446035",
            "telephone_number": "952-944-3131",
            "fax_number": "952-944-9675"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OPTOMETRIC ASSOCIATES, LTD.",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "OPTOMETRIC ASSOCIATES, LTD",
        "enumeration_date": "2007-05-18",
        "last_updated": "2009-06-11",
        "status": "A",
        "authorized_official_last_name": "SCOTT",
        "authorized_official_first_name": "JENNIFER",
        "authorized_official_title_or_position": "VICE PRESIDENT",
        "authorized_official_telephone_number": "952-944-3131",
        "authorized_official_name_prefix": "Dr."
    },
    "taxonomies": [
        {
            "code": "261QH0100X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Health Service",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HEALTH PARTNERS",
            "identifier": "31855",
            "state": "MN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD MN",
            "identifier": "1H401OP",
            "state": "MN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Optum Medical Services, P.C.

• Health Service Clinic/Center in Eden Prairie, MN
• Providers in Eden Prairie, MN by specialty
• Health Service Clinic/Center in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 11, 2009; 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.