NPIMap

Organization Active NPI

Advanced Looks Eye Care PC

  • Optometrist
  • Devils Lake, ND
National Provider Identifier
1760924856
Registry record updated Nov 9, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
654 Issued in ND
Legal business name
ADVANCED LOOKS EYE CARE PC
Practice address
1424 Highway 2 E
Devils Lake, ND 58301-4000
Phone
(701) 230-4926
NPI assigned
Nov 7, 2016
Last updated
Nov 9, 2016By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 9, 2016

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

Authorized official

Name
Amanda Lee
Title
President/Owner
Phone
(971) 404-7853

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 654 ND Primary

Addresses

Primary practice location

1424 Highway 2 E
Devils Lake, ND 58301-4000

Mailing address

5925 14TH Ave SW
Minot, ND 58701-3027
Phone (971) 404-7853

National Provider Directory

National Provider Directory
Tax ID family
Advanced Looks Eye Care PC3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

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

Locations

1424 Highway 2 E
Devils Lake, ND 58301
Phone (701) 230-4926

NPI Registry JSON

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

{
    "created_epoch": "1478476800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1478649600000",
    "number": "1760924856",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5925 14TH AVE SW",
            "city": "MINOT",
            "state": "ND",
            "postal_code": "587013027",
            "telephone_number": "971-404-7853"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1424 HIGHWAY 2 E",
            "city": "DEVILS LAKE",
            "state": "ND",
            "postal_code": "583014000",
            "telephone_number": "701-230-4926"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ADVANCED LOOKS EYE CARE PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-11-07",
        "last_updated": "2016-11-09",
        "status": "A",
        "authorized_official_last_name": "LEE",
        "authorized_official_first_name": "AMANDA",
        "authorized_official_title_or_position": "PRESIDENT/OWNER",
        "authorized_official_telephone_number": "971-404-7853"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "ND",
            "license": "654",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Devils Lake, ND

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 9, 2016; 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.