Complete Eyecare P L C

Primary specialty

OptometristTaxonomy code 152W00000X

License

2821 Issued in MN

Legal business name

COMPLETE EYECARE P L C

Doing business as

Lens Crafters

Practice address

260 Northtown Dr NE
Blaine, MN 55434-1037

Phone

(763) 784-9049

NPI assigned

Nov 10, 2011

Last updated

Nov 10, 2011By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Chad Krietlow, ODNPI 1295849917

Title

Partner

Phone

(763) 784-9049

Specialties & licenses 1

Addresses

Other names 1

• LENS CRAFTERS Doing business as

Medicare fee-for-service enrollment

Enrolled in MN

Enrollment records 1

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Chad M. Krietlow, O.D.

  • Optometrist
  • Blaine, MN
  • NPI 1295849917
  Medicare reassignment NPD Authorized official
• Jean L Layman, O.D.

  • Optometrist
  • Blaine, MN
  • NPI 1689785636
  Medicare reassignment NPD

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

{
    "created_epoch": "1320883200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1320883200000",
    "number": "1841577418",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "260 NORTHTOWN DR NE",
            "city": "BLAINE",
            "state": "MN",
            "postal_code": "554341037",
            "telephone_number": "763-784-9049"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "260 NORTHTOWN DR NE",
            "city": "BLAINE",
            "state": "MN",
            "postal_code": "554341037",
            "telephone_number": "763-784-9049"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COMPLETE EYECARE P L C",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-11-10",
        "last_updated": "2011-11-10",
        "status": "A",
        "authorized_official_last_name": "KRIETLOW",
        "authorized_official_first_name": "CHAD",
        "authorized_official_title_or_position": "PARTNER",
        "authorized_official_telephone_number": "763-784-9049",
        "authorized_official_credential": "OD"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "MN",
            "license": "2821",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "LENS CRAFTERS",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Stephen John Collins, DC.
• Columbia Park Medical Group, PA
• Columbia Park Medical Group, PA
• Brianna Columbus
• Karen Dizon Competente, D.D.S.
• Coon Rapids Chiropractic Health Services LTD
• Haley Copenhaver
• Core Restore Counseling, LLC
• Ian Manuel Guerrero Corpus, M.D.
• Corrective Care Chiropractic PC

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 10, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.