Organization Active NPI

Falls Eyecare

  • Optician
  • Intl Falls, MN
National Provider Identifier
1720174725
Registry record updated Apr 5, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
OpticianTaxonomy code 156FX1800X
Legal business name
FALLS EYECARE
Practice address
621 3Rd Ave
Intl Falls, MN 56649-2637
Phone
(218) 283-2525
Fax
(218) 283-9694
NPI assigned
Oct 5, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 5, 2012

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

Authorized official

Name
Mr. James L Saurdiff, OD
Title
Owner
Phone
(218) 283-2525

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
OpticianGroup: 193400000X SINGLE SPECIALTY GROUP 156FX1800X Primary

Addresses

Primary practice location

621 3Rd Ave
Intl Falls, MN 56649-2637

Mailing address

621 3Rd Ave
Intl Falls, MN 56649-2637
Phone (218) 283-2525

Other names 1

  • JIM SAURDIFF GEN PTR Doing business as

National Provider Directory

National Provider Directory

Locations

1925 Valley Pine Cir
Intl Falls, MN 56649
Phone (218) 283-2525

NPI Registry JSON

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

{
    "created_epoch": "1160006400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1333584000000",
    "number": "1720174725",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "621 3RD AVE",
            "city": "INTL FALLS",
            "state": "MN",
            "postal_code": "566492637",
            "telephone_number": "218-283-2525",
            "fax_number": "218-283-9694"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "621 3RD AVE",
            "city": "INTL FALLS",
            "state": "MN",
            "postal_code": "566492637",
            "telephone_number": "218-283-2525",
            "fax_number": "218-283-9694"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FALLS EYECARE",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-05",
        "last_updated": "2012-04-05",
        "status": "A",
        "authorized_official_last_name": "SAURDIFF",
        "authorized_official_first_name": "JAMES",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "218-283-2525",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "OD"
    },
    "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": "JIM SAURDIFF GEN PTR",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Intl Falls, MN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 5, 2012; 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.