Organization Active NPI

Ulrick Eyecare, Inc.

  • Optometrist
  • Chaska, MN
National Provider Identifier
1811066269
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
2753000 Issued in MN
Legal business name
ULRICK EYECARE, INC.
Practice address
111 Pioneer TRL
Chaska, MN 55318-1121
Phone
(952) 361-6249
Fax
(952) 361-6877
NPI assigned
Nov 7, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Stacey Ann Ulrick, OD
Title
President
Phone
(952) 448-4948

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
OptometristGroup: 193400000X SINGLE SPECIALTY GROUP 152W00000X 2753000 MN Primary

Addresses

Primary practice location

111 Pioneer TRL
Chaska, MN 55318-1121

Mailing address

110116 Arboretum Way
Chaska, MN 55318-1348
Phone (952) 448-4948

Other names 1

  • STACEY ULRICK, OD Doing business as

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1162857600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1811066269",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "110116 ARBORETUM WAY",
            "city": "CHASKA",
            "state": "MN",
            "postal_code": "553181348",
            "telephone_number": "952-448-4948",
            "fax_number": "952-448-4948"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "111 PIONEER TRL",
            "city": "CHASKA",
            "state": "MN",
            "postal_code": "553181121",
            "telephone_number": "952-361-6249",
            "fax_number": "952-361-6877"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ULRICK EYECARE, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-07",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "ULRICK",
        "authorized_official_first_name": "STACEY",
        "authorized_official_middle_name": "ANN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "952-448-4948",
        "authorized_official_credential": "OD"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": "MN",
            "license": "2753000",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "STACEY ULRICK, OD",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Chaska, MN

Sources for this page

  • 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.