Proeyecare Associates PA

Primary specialty

Ophthalmology PhysicianTaxonomy code 207W00000X

Legal business name

PROEYECARE ASSOCIATES PA

Practice address

4625 Churchill St
Suite 210
Shoreview, MN 55126-5868

Phone

(651) 645-3997

Fax

(651) 641-7207

NPI assigned

Jul 11, 2011

Organization subpart

No

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

Authorized official

Name

Dianna Kent

Title

Clinic Administrator

Phone

(651) 645-3997

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1310342400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1310342400000",
    "number": "1790073815",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1570 CONCORDIA AVE",
            "address_2": "SUITE 202",
            "city": "SAINT PAUL",
            "state": "MN",
            "postal_code": "551045338",
            "telephone_number": "651-645-3997",
            "fax_number": "651-641-7207"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4625 CHURCHILL ST",
            "address_2": "SUITE 210",
            "city": "SHOREVIEW",
            "state": "MN",
            "postal_code": "551265868",
            "telephone_number": "651-645-3997",
            "fax_number": "651-641-7207"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PROEYECARE ASSOCIATES PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-07-11",
        "last_updated": "2011-07-11",
        "status": "A",
        "authorized_official_last_name": "KENT",
        "authorized_official_first_name": "DIANNA",
        "authorized_official_title_or_position": "CLINIC ADMINISTRATOR",
        "authorized_official_telephone_number": "651-645-3997"
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Ophthalmology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Mae Petrangelo, MS,CCC-SLP
• Rebecca Lea Pilet, MOT, OTR/L
• James Pinson
• Theresa Irene Plasencia, P.T.
• Preferred Chiropractic Associates Inc
• Progressive Eyecare Associates
• Promedical Health Care
• Monica Marie Purdy, M.A., CCC-SLP
• Stephanie W Putzier, MD
• Gretchen Elizabeth Rachuy, DC

• Ophthalmology Physician in Shoreview, MN
• Providers in Shoreview, MN by specialty
• Ophthalmology Physician in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 11, 2011; 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.