Centennial Eye Care

Primary specialty

OptometristTaxonomy code 152W00000X

License

3104 Issued in MN

Legal business name

CENTENNIAL EYE CARE

Practice address

9201 Lexington Ave N
Suite 6
Circle Pines, MN 55014-3514

Phone

(763) 229-9250

NPI assigned

Jul 29, 2015

Last updated

Jul 29, 2015By 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. Anthony Zabel, OD

Title

Owner

Phone

(763) 229-9250

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1438128000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1438128000000",
    "number": "1760867980",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9201 LEXINGTON AVE N",
            "address_2": "SUITE 6",
            "city": "CIRCLE PINES",
            "state": "MN",
            "postal_code": "550143514",
            "telephone_number": "763-229-9250"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9201 LEXINGTON AVE N",
            "address_2": "SUITE 6",
            "city": "CIRCLE PINES",
            "state": "MN",
            "postal_code": "550143514",
            "telephone_number": "763-229-9250"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CENTENNIAL EYE CARE",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-07-29",
        "last_updated": "2015-07-29",
        "status": "A",
        "authorized_official_last_name": "ZABEL",
        "authorized_official_first_name": "ANTHONY",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "763-229-9250",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "OD"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "MN",
            "license": "3104",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Pamela Alice Bordson
• Traci Gail Bowermaster
• Jacob Allen Burgoon
• Jenna L Calcaterra, RD
• Amy Kapaun Carlson
• Centennial School District
• Shaina L Christen
• Circle Pines Dental P.a.
• Circle Pines Family Dental PLLC
• Jessica Corcoran

• Optometrist in Circle Pines, MN
• Providers in Circle Pines, MN by specialty
• Optometrist in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 29, 2015; 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.