Organization Active NPI

Hataye-Softing Optometrists, LTD.

Doing business as Innovision Eyecare

  • Optometrist
  • Albert Lea, MN
National Provider Identifier
1821143728
Registry record updated Dec 28, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
2189 Issued in MN
Legal business name
HATAYE-SOFTING OPTOMETRISTS, LTD.
Doing business as
Innovision Eyecare
Practice address
232 S Broadway Ave
Albert Lea, MN 56007-2521
Phone
(507) 373-0627
Fax
(507) 373-0628
NPI assigned
Jan 24, 2007
Last updated
Dec 28, 2011By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 28, 2011

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

Authorized official

Name
Dr. Gareth Hataye, O.D.
Title
President
Phone
(507) 373-0627

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
OptometristGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 152W00000X 2189 MN Primary
OptometristGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 152W00000X 2212 MN

Addresses

Primary practice location

232 S Broadway Ave
Albert Lea, MN 56007-2521

Mailing address

232 S Broadway Ave
Albert Lea, MN 56007-2521
Phone (507) 373-0627

Other identifiers 13

IdentifierTypeStateIssuer
2200450OtherMNMEDICA
409523500MedicaidMN
4C068SOOtherMNBCBSM ALAINA
122609OtherMNUCARE ALAINA
1011298OtherMNPREFERRED ONE ALAINA
115713OtherMNUCARE GARETH
169323900MedicaidMN
1011297OtherMNPREFERRED ONE GARETH
4C070PAOtherMNBCBSM OPTICAL
2200104OtherMNMEDICA OPTICAL
4C067PAOtherMNBCBSM GROUP
123247OtherMNUCARE GROUP
4C069HAOtherMNBCBSM GARETH

Other names 1

  • Innovision Eyecare Doing business as

National Provider Directory

National Provider Directory

Locations

232 S Broadway Ave
Albert Lea, MN 56007
Phone (507) 373-0627

NPI Registry JSON

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

{
    "created_epoch": "1169596800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1325030400000",
    "number": "1821143728",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "232 S BROADWAY AVE",
            "city": "ALBERT LEA",
            "state": "MN",
            "postal_code": "560072521",
            "telephone_number": "507-373-0627",
            "fax_number": "507-373-0628"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "232 S BROADWAY AVE",
            "city": "ALBERT LEA",
            "state": "MN",
            "postal_code": "560072521",
            "telephone_number": "507-373-0627",
            "fax_number": "507-373-0628"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HATAYE-SOFTING OPTOMETRISTS, LTD.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-24",
        "last_updated": "2011-12-28",
        "status": "A",
        "authorized_official_last_name": "HATAYE",
        "authorized_official_first_name": "GARETH",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "507-373-0627",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "O.D."
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Optometrist",
            "state": "MN",
            "license": "2189",
            "primary": true
        },
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Optometrist",
            "state": "MN",
            "license": "2212",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICA",
            "identifier": "2200450",
            "state": "MN"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "409523500",
            "state": "MN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBSM ALAINA",
            "identifier": "4C068SO",
            "state": "MN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UCARE ALAINA",
            "identifier": "122609",
            "state": "MN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PREFERRED ONE ALAINA",
            "identifier": "1011298",
            "state": "MN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UCARE GARETH",
            "identifier": "115713",
            "state": "MN"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "169323900",
            "state": "MN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PREFERRED ONE GARETH",
            "identifier": "1011297",
            "state": "MN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBSM OPTICAL",
            "identifier": "4C070PA",
            "state": "MN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICA OPTICAL",
            "identifier": "2200104",
            "state": "MN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBSM GROUP",
            "identifier": "4C067PA",
            "state": "MN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UCARE GROUP",
            "identifier": "123247",
            "state": "MN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBSM GARETH",
            "identifier": "4C069HA",
            "state": "MN"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Innovision Eyecare",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Albert Lea, MN

Sources for this page

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