Organization Active NPI

Eye Doctors Inc

  • Optometrist
  • Eden Prairie, MN
National Provider Identifier
1861544371
Registry record updated Jan 2, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
2338 Issued in MN
Legal business name
EYE DOCTORS INC
Practice address
12195 Singletree LN
Eden Prairie, MN 55344-7921
Phone
(952) 829-9024
NPI assigned
Jan 17, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 2, 2013

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

Authorized official

Name
Dr. Melissa Sue Viker, O.D.NPI 1194836353
Title
Optmetrist
Phone
(952) 829-9024

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)CodeLicenseStatePrimary
OptometristGroup: 193400000X SINGLE SPECIALTY GROUP 152W00000X 2338 MN Primary

Addresses

Primary practice location

12195 Singletree LN
Eden Prairie, MN 55344-7921

Mailing address

9031 Preserve Blvd
Eden Prairie, MN 55347-2012
Phone (952) 829-9024

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MN

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20070130000091 MN Part B Supplier - Clinic/Group Practice 4082615356 Receives reassigned benefits from 2 practitioners
Practice locations: Eden Prairie, MN

National Provider Directory

National Provider Directory

Locations

12195 Singletree Ln
Eden Prairie, MN 55344
Phone (952) 829-9024

Practitioners & affiliated clinicians

Practitioners 2

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

NPI Registry JSON

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

{
    "created_epoch": "1168992000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1357084800000",
    "number": "1861544371",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9031 PRESERVE BLVD",
            "city": "EDEN PRAIRIE",
            "state": "MN",
            "postal_code": "553472012",
            "telephone_number": "952-829-9024"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12195 SINGLETREE LN",
            "city": "EDEN PRAIRIE",
            "state": "MN",
            "postal_code": "553447921",
            "telephone_number": "952-829-9024"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EYE DOCTORS INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-17",
        "last_updated": "2013-01-02",
        "status": "A",
        "authorized_official_last_name": "VIKER",
        "authorized_official_first_name": "MELISSA",
        "authorized_official_middle_name": "SUE",
        "authorized_official_title_or_position": "OPTMETRIST",
        "authorized_official_telephone_number": "952-829-9024",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "O.D."
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": "MN",
            "license": "2338",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Eden Prairie, MN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 2, 2013; 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.