Active NPI
Associates in Eyecare
- Optometrist
- Baxter, MN
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- Legal business name
- ASSOCIATES IN EYECARE
- Practice address
- 14453 Edgewood Dr
Baxter, MN 56425-8459 - Phone
- (218) 829-1789
- Fax
- (218) 829-1780
- NPI assigned
- May 13, 2021
- Last updated
- May 14, 2021
- 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
- Dr. Daniel Benjamin Clayton, OD
- Title
- Owner/Optometrist
- Phone
- (701) 567-3814
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Optometrist | 152W00000X | Primary |
Addresses
Primary practice location
14453 Edgewood Dr
Baxter, MN 56425-8459
Mailing address
14453 Edgewood Dr
Baxter, MN 56425-8459
Phone (218) 829-1789
Other practice location 1
424 Barclay Ave
Pine River, MN 56474-1603
Phone (218) 587-2020
Other practice location 2
5457 City Hall St
Nisswa, MN 56468-2478
Phone (218) 963-2020
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1124035191 | Medicaid | MN |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MN
Enrollment records 2
National Provider Directory
National Provider DirectoryLocations
14453 Edgewood Dr
Baxter, MN 56425
Phone (218) 829-1789
Practitioners & affiliated clinicians
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.
-
- Optometrist
- Baxter, MN
- NPI 1477862555
-
- Optometrist
- Crosby, MN
- NPI 1023343100
-
- Optometrist
- Baxter, MN
- NPI 1205801032
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1620864000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1620950400000",
"number": "1861066920",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "14453 EDGEWOOD DR",
"city": "BAXTER",
"state": "MN",
"postal_code": "564258459",
"telephone_number": "218-829-1789",
"fax_number": "218-829-1780"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "14453 EDGEWOOD DR",
"city": "BAXTER",
"state": "MN",
"postal_code": "564258459",
"telephone_number": "218-829-1789",
"fax_number": "218-829-1780"
}
],
"practiceLocations": [
{
"address_1": "424 Barclay Ave",
"address_purpose": "LOCATION",
"city": "Pine River",
"state": "MN",
"postal_code": "564741603",
"country_code": "US",
"telephone_number": "218-587-2020",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "5457 City Hall St",
"address_purpose": "LOCATION",
"city": "Nisswa",
"state": "MN",
"postal_code": "564682478",
"country_code": "US",
"telephone_number": "218-963-2020",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"organization_name": "ASSOCIATES IN EYECARE",
"organizational_subpart": "NO",
"enumeration_date": "2021-05-13",
"last_updated": "2021-05-14",
"certification_date": "2021-05-14",
"status": "A",
"authorized_official_last_name": "CLAYTON",
"authorized_official_first_name": "DANIEL",
"authorized_official_middle_name": "BENJAMIN",
"authorized_official_title_or_position": "OWNER/OPTOMETRIST",
"authorized_official_telephone_number": "701-567-3814",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "OD"
},
"taxonomies": [
{
"code": "152W00000X",
"taxonomy_group": "",
"desc": "Optometrist",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1124035191",
"state": "MN"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Baxter, MN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 14, 2021; 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.