Active NPI
Dr Musland & Associates LLC
- Optometrist
- Ham Lake, MN
National Provider Identifier
1821377912
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- License
- 2978
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Optometrist | 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 DirectoryNPI 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.