Organization Active NPI

Downtown Eyes Optometric PLLC

  • Optometrist
  • Minneapolis, MN
National Provider Identifier
1750762977
Registry record updated Mar 17, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
3211 Issued in MN
Legal business name
DOWNTOWN EYES OPTOMETRIC PLLC
Practice address
800 Nicollet Mall Ste 260
Minneapolis, MN 55402-7023
Phone
(612) 333-3937
NPI assigned
Jun 12, 2015
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 17, 2018

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

Authorized official

Name
Dr. Mary Ann Joy Zastrow, O.D.NPI 1538471560
Title
Optometrist
Phone
(507) 210-0469

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
OptometristGroup: 193400000X SINGLE SPECIALTY GROUP 152W00000X 3211 MN Primary

Addresses

Primary practice location

800 Nicollet Mall Ste 260
Minneapolis, MN 55402-7023

Mailing address

800 Nicollet Mall Ste 260
Minneapolis, MN 55402-7023

Other practice location 1

6601 Lyndale Ave S
Richfield, MN 55423-2477
Phone (612) 869-1333

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MN

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20150914002238 MN Part B Supplier - Clinic/Group Practice 3971810631 Receives reassigned benefits from 4 practitioners
Practice locations: Minneapolis, MN

National Provider Directory

National Provider Directory

Locations

800 Nicollet Mall
Ste 260
Minneapolis, MN 55402
Phone (612) 333-3937

6601 Lyndale Ave S
Richfield, MN 55423
Phone (612) 866-1234

Practitioners & affiliated clinicians

Practitioners 5

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

NPI Registry JSON

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

{
    "created_epoch": "1434067200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1521244800000",
    "number": "1750762977",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "800 NICOLLET MALL STE 260",
            "city": "MINNEAPOLIS",
            "state": "MN",
            "postal_code": "554027023"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "800 NICOLLET MALL STE 260",
            "city": "MINNEAPOLIS",
            "state": "MN",
            "postal_code": "554027023",
            "telephone_number": "612-333-3937"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "6601 Lyndale Ave S",
            "address_purpose": "LOCATION",
            "city": "Richfield",
            "state": "MN",
            "postal_code": "554232477",
            "country_code": "US",
            "telephone_number": "612-869-1333",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "DOWNTOWN EYES OPTOMETRIC PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-06-12",
        "last_updated": "2018-03-17",
        "status": "A",
        "authorized_official_last_name": "ZASTROW",
        "authorized_official_first_name": "MARY ANN",
        "authorized_official_middle_name": "JOY",
        "authorized_official_title_or_position": "OPTOMETRIST",
        "authorized_official_telephone_number": "507-210-0469",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "O.D."
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": "MN",
            "license": "3211",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Minneapolis, MN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 17, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.