NPIMap

Organization Active NPI

Oker Optometry LLC

Doing business as Eden Prairie Eye Care

  • Optometrist
  • Eden Prairie, MN
National Provider Identifier
1700263704
Registry record updated Sep 22, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
3401 Issued in MN
Legal business name
OKER OPTOMETRY LLC
Doing business as
Eden Prairie Eye Care
Practice address
8251 Flying Cloud Dr
1296
Eden Prairie, MN 55344-5350
Phone
(952) 944-2792
Fax
(952) 942-4973
NPI assigned
Apr 29, 2015
Last updated
Sep 22, 2015By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 22, 2015

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

Authorized official

Name
Dominique M Oker, OD
Title
Optometrist/Owner
Phone
(612) 245-3212

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 3401 MN Primary

Addresses

Primary practice location

8251 Flying Cloud Dr
1296
Eden Prairie, MN 55344-5350

Mailing address

8251 Flying Cloud Dr
1296
Eden Prairie, MN 55344-5350
Phone (952) 944-2792

Other names 1

  • Eden Prairie Eye Care Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MN

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20170109000595 MN Part B Supplier - Clinic/Group Practice 0547541401 Receives reassigned benefits from 1 practitioner
Practice locations: Eden Prairie, MN

National Provider Directory

National Provider Directory
Tax ID family
Eden Prairie Eye Care2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Practitioners & affiliated clinicians

Practitioners 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1430265600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1442880000000",
    "number": "1700263704",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8251 FLYING CLOUD DR",
            "address_2": "1296",
            "city": "EDEN PRAIRIE",
            "state": "MN",
            "postal_code": "553445350",
            "telephone_number": "952-944-2792",
            "fax_number": "952-942-4973"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8251 FLYING CLOUD DR",
            "address_2": "1296",
            "city": "EDEN PRAIRIE",
            "state": "MN",
            "postal_code": "553445350",
            "telephone_number": "952-944-2792",
            "fax_number": "952-942-4973"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OKER OPTOMETRY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-04-29",
        "last_updated": "2015-09-22",
        "status": "A",
        "authorized_official_last_name": "OKER",
        "authorized_official_first_name": "DOMINIQUE",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "OPTOMETRIST/OWNER",
        "authorized_official_telephone_number": "612-245-3212",
        "authorized_official_credential": "OD"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "MN",
            "license": "3401",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Eden Prairie Eye Care",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Eden Prairie, MN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 22, 2015; 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.