Organization Active NPI

Mankato Vision Center LLC

  • Optometrist
  • Mankato, MN
National Provider Identifier
1821129263
Registry record updated Feb 28, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
6424033 Issued in MN
Legal business name
MANKATO VISION CENTER LLC
Practice address
1819 Adams St
Mankato, MN 56001-4841
Phone
(507) 387-4227
Fax
(507) 345-7156
NPI assigned
Mar 8, 2007
Last updated
Feb 28, 2008By the provider in NPPES
Organization subpart
No

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

Authorized official

Name
Mrs. Jean M Tasler, ODNPI 1811075401
Title
Owner
Phone
(507) 387-4227

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
OptometristGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 152W00000X 6424033 MN Primary

Addresses

Primary practice location

1819 Adams St
Mankato, MN 56001-4841

Mailing address

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

National Provider Directory

National Provider Directory

Locations

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

1874 Madison Ave
Mankato, MN 56001
Phone (507) 387-4227

1874 Madison Ave
Mankato, MN 56001
Phone (507) 387-4227

Practitioners & affiliated clinicians

Practitioners 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1173312000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1204156800000",
    "number": "1821129263",
    "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": {
        "organization_name": "MANKATO VISION CENTER LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-08",
        "last_updated": "2008-02-28",
        "status": "A",
        "authorized_official_last_name": "TASLER",
        "authorized_official_first_name": "JEAN",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "507-387-4227",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "OD"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Optometrist",
            "state": "MN",
            "license": "6424033",
            "primary": true
        }
    ],
    "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.