Organization Active NPI

Mark a Emmerich

  • Optometrist
  • Dickinson, ND
National Provider Identifier
1760660658
Registry record updated Jan 3, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
379 Issued in ND
Legal business name
MARK A EMMERICH
Doing business as
Emmerich Eye Clinic
Practice address
34 1St St E
Dickinson, ND 58601-5209
Phone
(701) 225-9601
Fax
(701) 483-9601
NPI assigned
Feb 4, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 3, 2014

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

Authorized official

Name
Dr. Mark A Emmerich, O.D.
Title
Owner
Phone
(701) 225-9601

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
OptometristGroup: 193400000X SINGLE SPECIALTY GROUP 152W00000X 379 ND Primary

Addresses

Primary practice location

34 1St St E
Dickinson, ND 58601-5209

Mailing address

34 1St St E
Dickinson, ND 58601-5209
Phone (701) 225-9601

Other names 1

  • Emmerich Eye Clinic Doing business as

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1202083200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1388707200000",
    "number": "1760660658",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "34 1ST ST E",
            "city": "DICKINSON",
            "state": "ND",
            "postal_code": "586015209",
            "telephone_number": "701-225-9601",
            "fax_number": "701-483-9601"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "34 1ST ST E",
            "city": "DICKINSON",
            "state": "ND",
            "postal_code": "586015209",
            "telephone_number": "701-225-9601",
            "fax_number": "701-483-9601"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MARK A EMMERICH",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-02-04",
        "last_updated": "2014-01-03",
        "status": "A",
        "authorized_official_last_name": "EMMERICH",
        "authorized_official_first_name": "MARK",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "701-225-9601",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "O.D."
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": "ND",
            "license": "379",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Emmerich Eye Clinic",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Dickinson, ND

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 3, 2014; 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.