Organization Active NPI

DT Vision Care L.L.C.

  • Optometrist
  • Saint Cloud, MN
National Provider Identifier
1760798441
Registry record updated Aug 19, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
2550 Issued in MN
Legal business name
DT VISION CARE L.L.C.
Practice address
207 County Road 120
Saint Cloud, MN 56303-4872
Phone
(320) 202-5985
Fax
(320) 202-7890
NPI assigned
Aug 19, 2010
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 19, 2010

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

Authorized official

Name
Dr. Debra Timperley, OD
Title
Chief Manager
Phone
(320) 492-7916

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
OptometristGroup: 193400000X SINGLE SPECIALTY GROUP 152W00000X 2550 MN Primary

Addresses

Primary practice location

207 County Road 120
Saint Cloud, MN 56303-4872

Mailing address

2220 13TH St S
Saint Cloud, MN 56301-4861
Phone (320) 492-7916

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.

NPI Registry JSON

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

{
    "created_epoch": "1282176000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1282176000000",
    "number": "1760798441",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2220 13TH ST S",
            "city": "SAINT CLOUD",
            "state": "MN",
            "postal_code": "563014861",
            "telephone_number": "320-492-7916",
            "fax_number": "320-202-7890"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "207 COUNTY ROAD 120",
            "city": "SAINT CLOUD",
            "state": "MN",
            "postal_code": "563034872",
            "telephone_number": "320-202-5985",
            "fax_number": "320-202-7890"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DT VISION CARE L.L.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-08-19",
        "last_updated": "2010-08-19",
        "status": "A",
        "authorized_official_last_name": "TIMPERLEY",
        "authorized_official_first_name": "DEBRA",
        "authorized_official_title_or_position": "CHIEF MANAGER",
        "authorized_official_telephone_number": "320-492-7916",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "OD"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": "MN",
            "license": "2550",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Saint Cloud, MN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 19, 2010; 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.