Hutchinson Superstore Inc

Primary specialty

OptometristTaxonomy code 152W00000X

Legal business name

HUTCHINSON SUPERSTORE INC

Practice address

1045 Crossing Dr Ste 200
Delano, MN 55328-4620

Phone

(320) 582-3755

NPI assigned

Jan 17, 2020

Last updated

Jan 17, 2020By 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

Matthew C Hoppe, O.D.

Title

President / Owner

Phone

(320) 587-4744

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in MN2 enrollments

Enrollment records 2

Other NPIs with the same Medicare PAC ID 1

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

• Hutchinson Superstore Inc

  dba Primary EyeCare

  • Eyewear Supplier
  • Hutchinson, MN
  • NPI 1225127756

  6901835636

  Same PAC ID

Other NPIs on the same Medicare enrollment 2

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

• Hutchinson Superstore Inc

  dba Primary EyeCare

  • Eyewear Supplier
  • Hutchinson, MN
  • NPI 1225127756

  O20050811000990

  Same enrollment
• Hutchinson Superstore Inc.

  dba Primary EyeCare

  • Eyewear Supplier
  • Litchfield, MN
  • NPI 1841389384

  O20050811000990

  Same enrollment

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

Tax ID family

Hutchinson Superstore Inc3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

Organizations that report the same tax identification number in the National Provider Directory.

• Hutchinson Superstore Inc

  dba Primary EyeCare

  • Eyewear Supplier
  • Hutchinson, MN
  • NPI 1225127756
  NPD tax ID
• Hutchinson Superstore Inc.

  dba Primary EyeCare

  • Eyewear Supplier
  • Litchfield, MN
  • NPI 1841389384
  NPD tax ID

Locations

Practitioners 3

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.

• Mark Korthals, OD

  • Optometrist
  • Maple Grove, MN
  • NPI 1215091749
  NPD
• Alex David Messner, OD

  • Optometrist
  • Hutchinson, MN
  • NPI 1922797257
  NPD
• Abby Ann Trettin, O.D.

  • Optometrist
  • Hutchinson, MN
  • NPI 1891283743
  NPD

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

{
    "created_epoch": "1579219200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1579219200000",
    "number": "1851921951",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "16660 705TH AVE",
            "city": "DASSEL",
            "state": "MN",
            "postal_code": "553257508",
            "telephone_number": "320-582-3755"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1045 CROSSING DR STE 200",
            "city": "DELANO",
            "state": "MN",
            "postal_code": "553284620",
            "telephone_number": "320-582-3755"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HUTCHINSON SUPERSTORE INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-01-17",
        "last_updated": "2020-01-17",
        "certification_date": "2020-01-17",
        "status": "A",
        "authorized_official_last_name": "HOPPE",
        "authorized_official_first_name": "MATTHEW",
        "authorized_official_middle_name": "C",
        "authorized_official_title_or_position": "PRESIDENT / OWNER",
        "authorized_official_telephone_number": "320-587-4744",
        "authorized_official_credential": "O.D."
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 17, 2020; 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.