Apex Optometry Resources LLC

Primary specialty

OptometristTaxonomy code 152W00000X

License

LD2845 Issued in MN

Legal business name

APEX OPTOMETRY RESOURCES LLC

Doing business as

Graf Optical

Practice address

1605 County Road C W
Roseville, MN 55113-1302

Phone

(651) 631-8112

Fax

(651) 631-2113

NPI assigned

Mar 30, 2007

Last updated

Aug 22, 2020By 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

Mr. Eric Richard Tyler, OD, MBANPI 1285652826

Title

President and Ceo

Phone

(651) 631-8112

Specialties & licenses 1

Addresses

Other names 1

• Graf Optical Doing business as

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.

• Eric Richard Tyler, O. D.

  • Optometrist
  • Wautoma, WI
  • NPI 1285652826
  NPD (past) Authorized official

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

{
    "created_epoch": "1175212800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1790805976",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2990 SHERRY CT",
            "city": "LITTLE CANADA",
            "state": "MN",
            "postal_code": "551174639",
            "telephone_number": "602-326-2189",
            "fax_number": "651-631-8112"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1605 COUNTY ROAD C W",
            "city": "ROSEVILLE",
            "state": "MN",
            "postal_code": "551131302",
            "telephone_number": "651-631-8112",
            "fax_number": "651-631-2113"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "APEX OPTOMETRY RESOURCES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-30",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "TYLER",
        "authorized_official_first_name": "ERIC",
        "authorized_official_middle_name": "RICHARD",
        "authorized_official_title_or_position": "PRESIDENT AND CEO",
        "authorized_official_telephone_number": "651-631-8112",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "OD, MBA"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "MN",
            "license": "LD2845",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Graf Optical",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Karl Haakon Andreasen, D.D.S.
• Andrya Dieter, PSYD, LP, LLC
• Camille Angeles-Castle, FNP-C
• Samuel Jesse Anthony II, DO
• Amy Antilla
• Approach Enterprises L.L.C
• Ibrahim Arale
• Joan Rosalie Arbour, D.C.
• Ailed Arcos Perez
• Arden Shores Counseling

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.