Individual provider Active NPI

Carolyn Anne Linster, OD

  • Optometrist
  • Minot, ND
National Provider Identifier
1861727943
Registry record updated Apr 18, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
690 Issued in ND
Practice address
1100 N Broadway
Suite 110
Minot, ND 58703-1332
Phone
(701) 852-2020
Fax
(701) 852-7853
NPI assigned
Oct 7, 2009
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 18, 2012

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 690 ND Primary

Addresses

Primary practice location

1100 N Broadway
Suite 110
Minot, ND 58703-1332

Mailing address

1100 N Broadway
Suite 110
Minot, ND 58703-1332
Phone (701) 852-2020

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
690NDMDRegistered Dietitian

NPI Registry JSON

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

{
    "created_epoch": "1254873600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1334707200000",
    "number": "1861727943",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1100 N BROADWAY",
            "address_2": "SUITE 110",
            "city": "MINOT",
            "state": "ND",
            "postal_code": "587031332",
            "telephone_number": "701-852-2020",
            "fax_number": "701-852-7853"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1100 N BROADWAY",
            "address_2": "SUITE 110",
            "city": "MINOT",
            "state": "ND",
            "postal_code": "587031332",
            "telephone_number": "701-852-2020",
            "fax_number": "701-852-7853"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LINSTER",
        "first_name": "CAROLYN",
        "middle_name": "ANNE",
        "credential": "OD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-10-07",
        "last_updated": "2012-04-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "ND",
            "license": "690",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Minot, ND

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 18, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.