Organization Active NPI

Dr Musland & Associates LLC

  • Optometrist
  • Ham Lake, MN
National Provider Identifier
1821377912
Registry record updated Aug 8, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
2978 Issued in MN
Legal business name
DR MUSLAND & ASSOCIATES LLC
Practice address
14322 Staples St NE
Ham Lake, MN 55304-4289
Phone
(651) 746-9065
NPI assigned
Aug 8, 2011
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 8, 2011

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

Authorized official

Name
Justin Musland, O.D.
Title
Optometrist
Phone
(651) 746-9065

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
OptometristGroup: 193400000X SINGLE SPECIALTY GROUP 152W00000X 2978 MN Primary

Addresses

Primary practice location

14322 Staples St NE
Ham Lake, MN 55304-4289

Mailing address

14322 Staples St NE
Ham Lake, MN 55304-4289

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1312761600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1312761600000",
    "number": "1821377912",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14322 STAPLES ST NE",
            "city": "HAM LAKE",
            "state": "MN",
            "postal_code": "553044289"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14322 STAPLES ST NE",
            "city": "HAM LAKE",
            "state": "MN",
            "postal_code": "553044289",
            "telephone_number": "651-746-9065"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DR MUSLAND & ASSOCIATES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-08-08",
        "last_updated": "2011-08-08",
        "status": "A",
        "authorized_official_last_name": "MUSLAND",
        "authorized_official_first_name": "JUSTIN",
        "authorized_official_title_or_position": "OPTOMETRIST",
        "authorized_official_telephone_number": "651-746-9065",
        "authorized_official_credential": "O.D."
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": "MN",
            "license": "2978",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Ham Lake, MN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 8, 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.