Dr. Gregory M. Macik, Optometrist, P.a.

Primary specialty

OptometristTaxonomy code 152W00000X

License

2973000 Issued in MN

Legal business name

DR. GREGORY M. MACIK, OPTOMETRIST, P.A.

Practice address

150 Traveler'S Trail East
Suite D
Burnsville, MN 55337

Phone

(952) 894-1400

Fax

(952) 808-2216

NPI assigned

Jul 21, 2006

Organization subpart

No

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

Authorized official

Name

Dr. Gregory M. Macik, O.D.NPI 1922004514

Title

President

Phone

(952) 894-1400

Specialties & licenses 1

Addresses

Other names 1

• Burnsville Eye Clinic Doing business as

Locations

Practitioners 1

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

• Gregory M Macik, OD

  • Optometrist
  • Willmar, MN
  • NPI 1922004514
  NPD (past) Authorized official

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

{
    "created_epoch": "1153440000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1730100181",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "150 TRAVELER'S TRAIL EAST",
            "address_2": "SUITE D",
            "city": "BURNSVILLE",
            "state": "MN",
            "postal_code": "55337",
            "telephone_number": "952-894-1400",
            "fax_number": "952-808-2216"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "150 TRAVELER'S TRAIL EAST",
            "address_2": "SUITE D",
            "city": "BURNSVILLE",
            "state": "MN",
            "postal_code": "55337",
            "telephone_number": "952-894-1400",
            "fax_number": "952-808-2216"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DR. GREGORY M. MACIK, OPTOMETRIST, P.A.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-21",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "MACIK",
        "authorized_official_first_name": "GREGORY",
        "authorized_official_middle_name": "M.",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "952-894-1400",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "O.D."
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": "MN",
            "license": "2973000",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Burnsville Eye Clinic",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Double Image, Inc
• Melissa Beth Doucette, MA LMFT
• Morgan Douglas, OTR/L
• Alexandra Alicia Doyle
• Scott Lawrence Doyle, D.D.S., M.S.
• Dr. Stephen a. Irestone, PA.
• Samantha Mae Dresselhaus
• Pilar Dritzmith, DPT
• Tatum Droel
• DRS. North & Watson, Optometrists P. a.

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

• 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.

Verify at the official NPI Registry.