Midwest Eye Laboratories Woodbury LLC

Primary specialty

Prosthetic/Orthotic SupplierTaxonomy code 335E00000X

Legal business name

MIDWEST EYE LABORATORIES WOODBURY LLC

Practice address

7582 Currell Blvd
Suite 109
Woodbury, MN 55125-2262

Phone

(651) 739-4111

Fax

(651) 412-5069

NPI assigned

Aug 11, 2010

Organization subpart

Yes

Parent organization

PRECISE OCULAR PROSTHETICS, LLCAs reported in NPPES

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

Authorized official

Name

Mr. Timothy J Barrett, BCONPI 1730307984

Title

President/Ocularist

Phone

(651) 739-4111

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in MN

Enrollment records 1

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

Medicare medical equipment & supply locations

Member of 1

Organizations this organization is a member of, according to the National Provider Directory.

• Midwest Eye Laboratories Inc

  • Prosthetic/Orthotic Supplier
  • Wausau, WI
  • NPI 1841417169

  Member Of

  NPD member

Practitioners 1

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

• Timothy J Barrett, B.C.O.

  • Ocularist
  • Woodbury, MN
  • NPI 1730307984
  NPD Authorized official

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

{
    "created_epoch": "1281484800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1718582400000",
    "number": "1699080945",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7582 CURRELL BLVD STE 109",
            "city": "WOODBURY",
            "state": "MN",
            "postal_code": "551258212",
            "telephone_number": "651-739-4111",
            "fax_number": "651-412-5069"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7582 CURRELL BLVD",
            "address_2": "SUITE 109",
            "city": "WOODBURY",
            "state": "MN",
            "postal_code": "551252262",
            "telephone_number": "651-739-4111",
            "fax_number": "651-412-5069"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MIDWEST EYE LABORATORIES WOODBURY LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "PRECISE OCULAR PROSTHETICS, LLC",
        "enumeration_date": "2010-08-11",
        "last_updated": "2024-06-17",
        "certification_date": "2024-06-17",
        "status": "A",
        "authorized_official_last_name": "BARRETT",
        "authorized_official_first_name": "TIMOTHY",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "PRESIDENT/OCULARIST",
        "authorized_official_telephone_number": "651-739-4111",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "BCO"
    },
    "taxonomies": [
        {
            "code": "335E00000X",
            "taxonomy_group": "",
            "desc": "Prosthetic/Orthotic Supplier",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1699080945",
            "state": "MN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Prosthetic/Orthotic Supplier in Woodbury, MN
• Providers in Woodbury, MN by specialty
• Prosthetic/Orthotic Supplier in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 17, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.