Dr Stephen P Tonner LTD

Primary specialty

OptometristTaxonomy code 152W00000X

License

2336 Issued in MN

Legal business name

DR STEPHEN P TONNER LTD

Doing business as

Ottertail Eye Care

Practice address

603 Douglas Ave
Henning, MN 56551-4109

Phone

(218) 583-4673

Fax

(218) 548-5671

NPI assigned

Jun 3, 2013

Last updated

Jun 3, 2013By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Stephen P Tonner, O.D.NPI 1356413330

Title

Owner/Optometrist

Phone

(218) 583-4673

Specialties & licenses 1

Addresses

Other names 1

• Ottertail Eye Care Doing business as

Medicare fee-for-service enrollment

Enrolled in MN

Enrollment records 1

Other NPIs on the same Medicare enrollment 1

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

• Dr.Stephen P. Tonner Opt. LTD.

  dba Lyndale Optical

  • Eyewear Supplier
  • Bloomington, MN
  • NPI 1215063961

  O20070315000034

  Same enrollment

Tax ID family

Dr Stephen P Tonner LTD2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

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

• Dr.Stephen P. Tonner Opt. LTD.

  dba Lyndale Optical

  • Eyewear Supplier
  • Bloomington, MN
  • NPI 1215063961
  NPD tax ID

Locations

Practitioners 1

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.

• Stephen Paul Tonner, O.D.

  • Optometrist
  • Bloomington, MN
  • NPI 1356413330
  NPD Authorized official

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

{
    "created_epoch": "1370217600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1370217600000",
    "number": "1760829568",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "603 DOUGLAS AVE",
            "city": "HENNING",
            "state": "MN",
            "postal_code": "565514109",
            "telephone_number": "218-583-4673",
            "fax_number": "218-548-5671"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "603 DOUGLAS AVE",
            "city": "HENNING",
            "state": "MN",
            "postal_code": "565514109",
            "telephone_number": "218-583-4673",
            "fax_number": "218-548-5671"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DR STEPHEN P TONNER LTD",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-06-03",
        "last_updated": "2013-06-03",
        "status": "A",
        "authorized_official_last_name": "TONNER",
        "authorized_official_first_name": "STEPHEN",
        "authorized_official_middle_name": "P",
        "authorized_official_title_or_position": "OWNER/OPTOMETRIST",
        "authorized_official_telephone_number": "218-583-4673",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "O.D."
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "MN",
            "license": "2336",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Ottertail Eye Care",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• City of Henning (Henning Ambulance Service)
• Lisa Marie Cordes, PTA
• Susan Kay Devries
• Patrick Dilly
• Kimberly Marie Doll
• Dylan G Folkestad, MD
• Benjamin David Geyer, PHARMD
• Sonja Mae Gunkel, OWNER
• Kathleen Yvonne Harthun, RNC, FNP
• Healthy Balance Chiropractic, LLC

• Optometrist in Henning, MN
• Providers in Henning, MN by specialty
• Optometrist in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 3, 2013; 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.