Rochester Family Eye Clinic LLC

Primary specialty

OptometristTaxonomy code 152W00000X

Legal business name

ROCHESTER FAMILY EYE CLINIC LLC

Practice address

3630 11TH Ave NW
Rochester, MN 55901-4276

Phone

(507) 288-2457

Fax

(507) 288-1299

NPI assigned

Nov 30, 2005

Organization subpart

No

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

Authorized official

Name

Mr. Terrance Duane Downs

Title

Practice MGR

Phone

(507) 288-2467

Specialties & licenses 1

Addresses

Other identifiers 3

Medicare fee-for-service enrollment

Enrolled in MN2 enrollments

Enrollment records 2

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

Medicare medical equipment & supply locations

Locations

Practitioners 8

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Loren John Baldus, O.D.

  • Optometrist
  • Rochester, MN
  • NPI 1114339629
  Medicare reassignment Care Compare group NPD
• Melissa K Downs, OD

  • Optometrist
  • Rochester, MN
  • NPI 1952385445
  Medicare reassignment Care Compare group NPD
• Trevor Johnson, OD

  • Optometrist
  • Rochester, MN
  • NPI 1669217212
  Medicare reassignment Care Compare group NPD
• Mark A Kidman, OD

  • Optometrist
  • Rochester, MN
  • NPI 1447234554
  Medicare reassignment Care Compare group NPD
• Daniel Marsac, O.D.

  • Optometrist
  • Dayton, OH
  • NPI 1275935439

  MN

  Medicare reassignment Care Compare group NPD
• Wing Man Yip, OD

  • Optometrist
  • Chicago, IL
  • NPI 1114373560

  MN

  Medicare reassignment Care Compare group NPD
• Levi Jacob Smith, OD

  • Optometrist
  • Morris, MN
  • NPI 1497429815
  Medicare reassignment NPD
• Brooke Erin Fenstad, O.D.

  • Optometrist
  • Fargo, ND
  • NPI 1699833301
  NPD (past)

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

{
    "created_epoch": "1133308800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1207526400000",
    "number": "1831173335",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3630 11TH AVE NW",
            "city": "ROCHESTER",
            "state": "MN",
            "postal_code": "559014276",
            "telephone_number": "507-288-2457",
            "fax_number": "507-288-1299"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3630 11TH AVE NW",
            "city": "ROCHESTER",
            "state": "MN",
            "postal_code": "559014276",
            "telephone_number": "507-288-2457",
            "fax_number": "507-288-1299"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ROCHESTER FAMILY EYE CLINIC LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-11-30",
        "last_updated": "2008-04-07",
        "status": "A",
        "authorized_official_last_name": "DOWNS",
        "authorized_official_first_name": "TERRANCE",
        "authorized_official_middle_name": "DUANE",
        "authorized_official_title_or_position": "PRACTICE MGR",
        "authorized_official_telephone_number": "507-288-2467",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PREFERRED ONE",
            "identifier": "01017731",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS SHIELD",
            "identifier": "4C932EA",
            "state": "MN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHEILD MN",
            "identifier": "52134JO",
            "state": "MN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Rochester Community Pharmacy LLC
• Rochester Cultural Center
• Rochester Dental Professionals LLC
• Rochester East Operating LLC
• Rochester Endodontics, PA
• Rochester Family Medicine Clinic PA
• Rochester Home Care
• Rochester Home Infusion, Inc
• Rochester Home Infusion, Inc.
• Rochester Independent School District No. 535

• Optometrist in Rochester, MN
• Providers in Rochester, MN by specialty
• Optometrist in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 7, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.