Vision Clinics Inc

Primary specialty

OptometristTaxonomy code 152W00000X

Legal business name

VISION CLINICS INC

Doing business as

Staples Eye Clinic

Practice address

222 4TH St NE
Staples, MN 56479-2428

Phone

(218) 894-1331

Fax

(218) 895-1332

NPI assigned

May 11, 2006

Organization subpart

No

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

Authorized official

Name

Mrs. Lamar Wayne Gunnarson, ODNPI 1336137256

Title

Owner

Phone

(218) 894-1331

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Staples Eye Clinic Doing business as

Practitioners 1

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.

• Lamar Wayne Gunnarson, OD

  • Optometrist
  • Alexandria, MN
  • NPI 1336137256
  NPD (past) Authorized official

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

{
    "created_epoch": "1147305600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1220572800000",
    "number": "1871543884",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "222 4TH ST NE",
            "city": "STAPLES",
            "state": "MN",
            "postal_code": "564792428",
            "telephone_number": "218-894-1331",
            "fax_number": "218-895-1332"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "222 4TH ST NE",
            "city": "STAPLES",
            "state": "MN",
            "postal_code": "564792428",
            "telephone_number": "218-894-1331",
            "fax_number": "218-895-1332"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VISION CLINICS INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-05-11",
        "last_updated": "2008-09-05",
        "status": "A",
        "authorized_official_last_name": "GUNNARSON",
        "authorized_official_first_name": "LAMAR",
        "authorized_official_middle_name": "WAYNE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "218-894-1331",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "OD"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": "MN",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "387549100",
            "state": "MN"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Staples Eye Clinic",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Sean R Tingum, PHARMD
• Carol L Uhlman, MD
• Stacy Underhill, PA-C
• Laura Marie Valencia, DNP, RN
• Kelly Vanvickle
• Carolina Faye Warner, LMFT
• Jennifer Renee Waytashek, CNM
• Zoe E Weber, PA-C
• John Joseph Weitz
• Alexus Willey, PMHNP-C

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 5, 2008; 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.