Nicholas Vincelli Optometry, Inc.

Primary specialty

OptometristTaxonomy code 152W00000X

License

3035 Issued in MN

Legal business name

NICHOLAS VINCELLI OPTOMETRY, INC.

Practice address

1881 E Madison Ave
Wal-Mart Vision Center Store #1473
Mankato, MN 56001-6200

Phone

(507) 388-9805

Fax

(507) 388-9812

NPI assigned

Nov 3, 2006

Organization subpart

No

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

Authorized official

Name

Dr. Nicholas Clinton Vincelli, O.D.NPI 1447289152

Title

President/Optometrist

Phone

(773) 220-4849

Specialties & licenses 1

Addresses

Practitioners 1

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

• Nicholas Clinton Vincelli, O.D.

  • Optometrist
  • Owatonna, MN
  • NPI 1447289152
  NPD (past) Authorized official

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

{
    "created_epoch": "1162512000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1242000000000",
    "number": "1720167273",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2095 HARBOUR OAK DR SE",
            "city": "OWATONNA",
            "state": "MN",
            "postal_code": "550606614",
            "telephone_number": "773-220-4849"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1881 E MADISON AVE",
            "address_2": "WAL-MART VISION CENTER STORE #1473",
            "city": "MANKATO",
            "state": "MN",
            "postal_code": "560016200",
            "telephone_number": "507-388-9805",
            "fax_number": "507-388-9812"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NICHOLAS VINCELLI OPTOMETRY, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-03",
        "last_updated": "2009-05-11",
        "status": "A",
        "authorized_official_last_name": "VINCELLI",
        "authorized_official_first_name": "NICHOLAS",
        "authorized_official_middle_name": "CLINTON",
        "authorized_official_title_or_position": "PRESIDENT/OPTOMETRIST",
        "authorized_official_telephone_number": "773-220-4849",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "O.D."
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": "MN",
            "license": "3035",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Optometrist in Mankato, MN
• Providers in Mankato, MN by specialty
• Optometrist in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 11, 2009; 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.