Belle Plaine Eyecare Center LLC

Primary specialty

OptometristTaxonomy code 152W00000X

License

3080 Issued in MN

Legal business name

BELLE PLAINE EYECARE CENTER LLC

Practice address

168 Commerce Dr E
Belle Plaine, MN 56011-2901

Phone

(952) 873-5554

NPI assigned

Oct 3, 2014

Organization subpart

No

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

Authorized official

Name

Dr. Zachary Dirks, ODNPI 1366640377

Title

Managing Optometrist

Phone

(507) 931-6436

Specialties & licenses 1

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Enrolled in MN2 enrollments

Enrollment records 2

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

Medicare medical equipment & supply locations

Locations

Practitioners 3

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

• Zachary Blake Dirks, O.D.

  • Optometrist
  • Saint Peter, MN
  • NPI 1366640377
  Medicare reassignment Care Compare group NPD Authorized official
• Emma Panning, OD

  • Optometrist
  • Le Sueur, MN
  • NPI 1891535993
  Medicare reassignment Care Compare group NPD
• Blake Thomas Dirks, OD

  • Optometrist
  • Saint Peter, MN
  • NPI 1629145057
  NPD (past)

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

{
    "created_epoch": "1412294400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1421798400000",
    "number": "1730582735",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "320 SUNRISE DR",
            "city": "SAINT PETER",
            "state": "MN",
            "postal_code": "560821352",
            "telephone_number": "507-931-6436"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "168 COMMERCE DR E",
            "city": "BELLE PLAINE",
            "state": "MN",
            "postal_code": "560112901",
            "telephone_number": "952-873-5554"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BELLE PLAINE EYECARE CENTER LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-10-03",
        "last_updated": "2015-01-21",
        "status": "A",
        "authorized_official_last_name": "DIRKS",
        "authorized_official_first_name": "ZACHARY",
        "authorized_official_title_or_position": "MANAGING OPTOMETRIST",
        "authorized_official_telephone_number": "507-931-6436",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "OD"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Optometrist",
            "state": "MN",
            "license": "3080",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UCARE NUMBER",
            "identifier": "139494",
            "state": "MN"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "498660000",
            "state": "MN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Omobolanle Tayibat Afinni
• Megan Ashley Bass
• Monique Dawn Baune, DMD
• Belle Plaine Chiropractic Health and Wellness Center, PA
• Belle Plaine Family Dental PA
• Janet Lea Bradach
• Jaime Leigh Buffie, MS, RDN, LD
• Mora Lynn Cervenka, DDS
• City of Belle Plaine

• Optometrist in Belle Plaine, MN
• Providers in Belle Plaine, MN by specialty
• Optometrist in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 21, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.