NPIMap

Organization Active NPI

David Thelen

Doing business as marsh optical

  • Optician
  • Anoka, MN
National Provider Identifier
1750452090
Registry record updated Aug 22, 2020
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Key facts

NPPES NPI Registry
Primary specialty
OpticianTaxonomy code 156FX1800X
Legal business name
DAVID THELEN
Doing business as
marsh optical
Practice address
1920 1St Ave
Anoka, MN 55303-2437
Phone
(763) 427-4000
Fax
(763) 295-4544
NPI assigned
Nov 10, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

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

Addresses

Primary practice location

1920 1St Ave
Anoka, MN 55303-2437

Mailing address

1920 1St Ave
Anoka, MN 55303-2437
Phone (763) 427-4000

Other names 1

  • marsh optical Doing business as

National Provider Directory

National Provider Directory
Tax ID family
David Thelen3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

Organizations that report the same tax identification number in the National Provider Directory.

NPI Registry JSON

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

{
    "created_epoch": "1163116800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1750452090",
    "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",
            "fax_number": "763-295-4544"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1920 1ST AVE",
            "city": "ANOKA",
            "state": "MN",
            "postal_code": "553032437",
            "telephone_number": "763-427-4000",
            "fax_number": "763-295-4544"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DAVID THELEN",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-10",
        "last_updated": "2020-08-22",
        "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": "marsh optical",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Anoka, MN

Sources for this page

  • 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.