Active NPI
Don Sealock, O.D., P.a.
Doing business as Four Seasons Eyecare - Robbinsdale
- Eyewear Supplier
- Robbinsdale, MN
National Provider Identifier
1831651165
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Eyewear Supplier
- Legal business name
- DON SEALOCK, O.D., P.A.
- Doing business as
- Four Seasons Eyecare - Robbinsdale
- Practice address
- 3366 Oakdale Ave N Ste 140
Robbinsdale, MN 55422-2961 - Phone
- (763) 292-5746
- Fax
- (763) 292-5748
- NPI assigned
- Apr 4, 2019
- Last updated
- Apr 4, 2019
- Organization subpart
- Yes
- Parent organization
- DON SEALOCK, O.D., P.A.
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Jennie J Sealock
- Title
- Secr/Treas
- Phone
- (763) 559-7358
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Eyewear Supplier | 332H00000X | NU | Primary |
Addresses
Primary practice location
3366 Oakdale Ave N Ste 140
Robbinsdale, MN 55422-2961
Mailing address
4455 Highway 169 N Ste 100
Plymouth, MN 55442-2898
Phone (612) 387-8920
Other names 1
- Four Seasons Eyecare - Robbinsdale
National Provider Directory
National Provider Directory- Tax ID family
- Four Seasons Eye Care
- Part of
- Four Seasons Eye Care
Other organizations with this tax ID 9
Organizations that report the same tax identification number in the National Provider Directory.
-
dba Four Seasons Eyecare - Maple Grove
- Eyewear Supplier
- Maple Grove, MN
- NPI 1538624341
-
dba Eyecare Center of St. Michael
- Eyewear Supplier
- Saint Michael, MN
- NPI 1548719081
Locations
4455 Highway 169 N
Ste 100
Plymouth, MN 55442
Phone (763) 559-7358
Ownership & related parties
Parent organization (reported in NPPES) 1
This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1554336000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1554336000000",
"number": "1831651165",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4455 HIGHWAY 169 N STE 100",
"city": "PLYMOUTH",
"state": "MN",
"postal_code": "554422898",
"telephone_number": "612-387-8920"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3366 OAKDALE AVE N STE 140",
"city": "ROBBINSDALE",
"state": "MN",
"postal_code": "554222961",
"telephone_number": "763-292-5746",
"fax_number": "763-292-5748"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "DON SEALOCK, O.D., P.A.",
"organizational_subpart": "YES",
"parent_organization_legal_business_name": "DON SEALOCK, O.D., P.A.",
"enumeration_date": "2019-04-04",
"last_updated": "2019-04-04",
"status": "A",
"authorized_official_last_name": "SEALOCK",
"authorized_official_first_name": "JENNIE",
"authorized_official_middle_name": "J",
"authorized_official_title_or_position": "SECR/TREAS",
"authorized_official_telephone_number": "763-559-7358"
},
"taxonomies": [
{
"code": "332H00000X",
"taxonomy_group": "",
"desc": "Eyewear Supplier",
"state": "NU",
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "Four Seasons Eyecare - Robbinsdale",
"code": "3",
"type": "Doing Business As"
}
]
}Other providers in Robbinsdale, MN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 4, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.