NPIMap

Organization Active NPI

Richard a. Perrott OD PA

  • Optometrist
  • Grand Rapids, MN
National Provider Identifier
1760607816
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
1638 Issued in MN
Legal business name
RICHARD A. PERROTT OD PA
Practice address
15 NE 5TH St
Grand Rapids, MN 55744-2601
Phone
(218) 327-1148
Fax
(218) 327-0386
NPI assigned
Apr 16, 2007
Last updated
Aug 22, 2020By the provider in NPPES
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
Dr. Richard A Perrott, O.D.NPI 1700968336
Title
Owner
Phone
(218) 327-1148

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
Optometrist 152W00000X 1638 MN Primary

Addresses

Primary practice location

15 NE 5TH St
Grand Rapids, MN 55744-2601

Mailing address

15 NE 5TH St
Grand Rapids, MN 55744-2601
Phone (218) 327-1148

Other identifiers 3

IdentifierTypeStateIssuer
22-00208OtherMNMEDICA
70514PEOtherMNBLUE CROSS GROUP
98383OtherMNPREFERRED ONE GROUP

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1176681600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1760607816",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15 NE 5TH ST",
            "city": "GRAND RAPIDS",
            "state": "MN",
            "postal_code": "557442601",
            "telephone_number": "218-327-1148",
            "fax_number": "218-327-0386"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15 NE 5TH ST",
            "city": "GRAND RAPIDS",
            "state": "MN",
            "postal_code": "557442601",
            "telephone_number": "218-327-1148",
            "fax_number": "218-327-0386"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RICHARD A. PERROTT OD PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-04-16",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "PERROTT",
        "authorized_official_first_name": "RICHARD",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "218-327-1148",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "O.D."
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "MN",
            "license": "1638",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICA",
            "identifier": "22-00208",
            "state": "MN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS GROUP",
            "identifier": "70514PE",
            "state": "MN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PREFERRED ONE GROUP",
            "identifier": "98383",
            "state": "MN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Grand Rapids, 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.