Omni Vision & Learning Center

Primary specialty

Vision Therapy OptometristTaxonomy code 152WV0400X

License

2734 Issued in MN

Legal business name

OMNI VISION & LEARNING CENTER

Practice address

9766 Fallon Ave NE Ste 105
Monticello, MN 55362-4589

Phone

(763) 314-0664

Fax

(763) 314-0665

NPI assigned

Nov 8, 2011

Organization subpart

No

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

Authorized official

Name

Dr. Mary Gregory

Title

Owner

Phone

(763) 314-0664

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1320710400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1320710400000",
    "number": "1700163540",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9766 FALLON AVE NE STE 105",
            "city": "MONTICELLO",
            "state": "MN",
            "postal_code": "553624589",
            "telephone_number": "763-314-0664",
            "fax_number": "763-314-0665"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9766 FALLON AVE NE STE 105",
            "city": "MONTICELLO",
            "state": "MN",
            "postal_code": "553624589",
            "telephone_number": "763-314-0664",
            "fax_number": "763-314-0665"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OMNI VISION & LEARNING CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-11-08",
        "last_updated": "2011-11-08",
        "status": "A",
        "authorized_official_last_name": "GREGORY",
        "authorized_official_first_name": "MARY",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "763-314-0664",
        "authorized_official_name_prefix": "Dr."
    },
    "taxonomies": [
        {
            "code": "152WV0400X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist, Vision Therapy",
            "state": "MN",
            "license": "2734",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Elliott Olsen, DPT
• Kyle L Olson, P.A.-C.
• Timothy A Olson, MD
• Amanda A Oman, PHARM. D.
• Kasy Lynn Omann, CNP
• Megan Tiffany Otis, D.O.
• Adrienne Marie Pacheco
• Jane Parker, N.P.
• Alpit D Patel, MBBS
• Adrienne Amanda Paulson, PHD

• Vision Therapy Optometrist in Monticello, MN
• Providers in Monticello, MN by specialty
• Vision Therapy Optometrist in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 8, 2011; 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.