Active NPI
David Thelen
Doing business as select eyecare
- Optician
- Monticello, MN
National Provider Identifier
1710058045
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optician
- Legal business name
- DAVID THELEN
- Doing business as
- select eyecare
- Practice address
- 527 State Highway 25
Monticello, MN 55362-8662 - Phone
- (763) 295-4044
- Fax
- (763) 295-4544
- NPI assigned
- Nov 10, 2006
- Last updated
- Aug 22, 2020
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Jane Thelen
- Title
- Owner
- Phone
- (763) 295-4044
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Optician | 156FX1800X | Primary |
Addresses
Primary practice location
527 State Highway 25
Monticello, MN 55362-8662
Mailing address
527 State Highway 25
Monticello, MN 55362-8662
Phone (763) 295-4044
Other names 1
- select eyecare
National Provider Directory
National Provider Directory- Tax ID family
- David Thelen
Other organizations with this tax ID 2
Organizations that report the same tax identification number in the National Provider Directory.
Locations
11415 Foley Blvd NW
Coon Rapids, MN 55448
Phone (763) 755-3683
Practitioners & affiliated clinicians
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.
-
- Optometrist
- Anoka, MN
- NPI 1679610125
-
- Optometrist
- Blaine, MN
- NPI 1689785636
-
- Family Medicine Physician
- Richfield, MN
- NPI 1447348040
-
- Optometrist
- Hillsboro, WI
- NPI 1972674299
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1163116800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1598054400000",
"number": "1710058045",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "527 STATE HIGHWAY 25",
"city": "MONTICELLO",
"state": "MN",
"postal_code": "553628662",
"telephone_number": "763-295-4044",
"fax_number": "763-295-4544"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "527 STATE HIGHWAY 25",
"city": "MONTICELLO",
"state": "MN",
"postal_code": "553628662",
"telephone_number": "763-295-4044",
"fax_number": "763-295-4544"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "DAVID THELEN",
"organizational_subpart": "NO",
"enumeration_date": "2006-11-10",
"last_updated": "2020-08-22",
"status": "A",
"authorized_official_last_name": "THELEN",
"authorized_official_first_name": "JANE",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "763-295-4044"
},
"taxonomies": [
{
"code": "156FX1800X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Technician/Technologist, Optician",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "select eyecare",
"code": "3",
"type": "Doing Business As"
}
]
}Other providers in Monticello, MN
- Craig Chiropractic and Kinesiology PC (Whole Health Family Chiropractic)
- Shaun Paul Craig, DC
- Kelly Jon Cripe, DC
- Jessy Critelli, LMFT
- Cura of Monticello LLC (Cura of Monticello)
- Neil De Cleene, DPT, ATC
- Lisa Marie Demarais, OPA-C, CST
- Derek Abramowski DDS (Southside Dental Center)
- Cody J Dessellier, DC
- Teresa Jane Devine, MD
Sources for this page
- 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.