Individual provider Active NPI

Jean M Tasler, OD

  • Optometrist
  • Mankato, MN
National Provider Identifier
1811075401
Registry record updated Feb 28, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
2216 Issued in MN
Practice address
1819 Adams St
Mankato, MN 56001-4841
Phone
(507) 387-4227
Fax
(507) 345-7156
NPI assigned
Nov 1, 2006
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 28, 2008

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 2216 MN Primary
Optometrist 152W00000X 6424033 MN

Addresses

Primary practice location

1819 Adams St
Mankato, MN 56001-4841

Mailing address

1819 Adams St
Mankato, MN 56001-4841
Phone (507) 387-4227

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
2216MNMDOptometrist
6424033MNMDOptometrist

NPI Registry JSON

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

{
    "created_epoch": "1162339200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1204156800000",
    "number": "1811075401",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1819 ADAMS ST",
            "city": "MANKATO",
            "state": "MN",
            "postal_code": "560014841",
            "telephone_number": "507-387-4227",
            "fax_number": "507-345-7156"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1819 ADAMS ST",
            "city": "MANKATO",
            "state": "MN",
            "postal_code": "560014841",
            "telephone_number": "507-387-4227",
            "fax_number": "507-345-7156"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TASLER",
        "first_name": "JEAN",
        "middle_name": "M",
        "credential": "OD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-11-01",
        "last_updated": "2008-02-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "MN",
            "license": "2216",
            "primary": true
        },
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "MN",
            "license": "6424033",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Mankato, MN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 28, 2008; 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.