DJ-MN Inc

Primary specialty

OpticianTaxonomy code 156FX1800X

Legal business name

DJ-MN INC

Practice address

204 Lewis Ave S
Suite 102
Watertown, MN 55388-4500

Phone

(763) 427-4000

NPI assigned

Jan 16, 2007

Organization subpart

No

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) 427-4000

Specialties & licenses 1

Addresses

Other names 1

• Carver Eyecare Doing business as

Medicare fee-for-service enrollment

Enrolled in MN

Enrollment records 1

Other NPIs on the same Medicare enrollment 3

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

• DJ-MN Inc

  • Optician
  • Monticello, MN
  • NPI 1124179049

  O20070718000701

  Same enrollment
• DJ-MN Inc

  • Optician
  • Anoka, MN
  • NPI 1205988805

  O20070718000701

  Same enrollment
• DJ-MN Inc

  • Optician
  • Coon Rapids, MN
  • NPI 1578615019

  O20070718000701

  Same enrollment

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

• Tamra Gean Emerson, O.D.

  • Optometrist
  • Anoka, MN
  • NPI 1679610125
  NPD

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

{
    "created_epoch": "1168905600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1204243200000",
    "number": "1720139579",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1920 1ST AVE",
            "city": "ANOKA",
            "state": "MN",
            "postal_code": "553032437",
            "telephone_number": "763-427-4000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "204 LEWIS AVE S",
            "address_2": "SUITE 102",
            "city": "WATERTOWN",
            "state": "MN",
            "postal_code": "553884500",
            "telephone_number": "763-427-4000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DJ-MN INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-16",
        "last_updated": "2008-02-29",
        "status": "A",
        "authorized_official_last_name": "THELEN",
        "authorized_official_first_name": "JANE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "763-427-4000"
    },
    "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": "Carver Eyecare",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Children'S Therapy Specialists, Inc.
• Chiropractic Specialists of Watertown PC
• Julie Choate, RCVT, RCT
• Jeffrey James Dagen, RPT
• David Thelen
• Don Sealock, O.D., P.a.
• Dennis Edward Eickhoff, PT
• Elim Homes, Inc.
• Andrew Curtis Engebretson, ATC
• Bailey Farrell

• All providers in Watertown, MN
• Optician in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 29, 2008; 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.