Maves Optical

Primary specialty

OpticianTaxonomy code 156FX1800X

Legal business name

MAVES OPTICAL

Practice address

1101 Columbia Road South
Grand Forks, ND 58201

Phone

(701) 775-4114

Fax

(701) 772-3237

NPI assigned

Aug 17, 2005

Organization subpart

No

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

Authorized official

Name

Elaine R Maves

Title

Owner Optician

Phone

(701) 775-4114

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1124236800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1224633600000",
    "number": "1871585869",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1101 COLUMBIA ROAD SOUTH",
            "city": "GRAND FORKS",
            "state": "ND",
            "postal_code": "58201",
            "telephone_number": "701-775-4114",
            "fax_number": "701-772-3237"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1101 COLUMBIA ROAD SOUTH",
            "city": "GRAND FORKS",
            "state": "ND",
            "postal_code": "58201",
            "telephone_number": "701-775-4114",
            "fax_number": "701-772-3237"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MAVES OPTICAL",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-08-17",
        "last_updated": "2008-10-22",
        "status": "A",
        "authorized_official_last_name": "MAVES",
        "authorized_official_first_name": "ELAINE",
        "authorized_official_middle_name": "R",
        "authorized_official_title_or_position": "OWNER  OPTICIAN",
        "authorized_official_telephone_number": "701-775-4114"
    },
    "taxonomies": [
        {
            "code": "156FX1800X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Technician/Technologist, Optician",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Diane Marie Leslie Mathiason, RD, LRD
• Gina Renae Mathiason, NP-C
• Justin Mauch, MD
• Lindsay Maurer
• Maves Eyewear, LLC
• Samantha Mazurek-Petters
• Elizabeth Ann McBride, CRNA
• Rosanne McBride, PH.D.
• Lavaun M McCann, MD
• Abby McCauley Davis

• Optician in Grand Forks, ND
• Providers in Grand Forks, ND by specialty
• Optician in North Dakota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 22, 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.