Betty's Mobile Optical, LLC

Primary specialty

Eyewear SupplierTaxonomy code 332H00000X

License

759560400029 Issued in MN

Legal business name

BETTY'S MOBILE OPTICAL, LLC

Practice address

1001 Cliff Rd E Ste 301
Burnsville, MN 55337-1541

Phone

(651) 688-3486

NPI assigned

Jan 6, 2015

Last updated

Jan 6, 2016By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mrs. Betty Kathleen Leervig

Title

Owner

Phone

(651) 688-3486

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1420502400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1452038400000",
    "number": "1891183430",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1001 CLIFF RD E STE 301",
            "city": "BURNSVILLE",
            "state": "MN",
            "postal_code": "553371541",
            "telephone_number": "651-688-3486"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1001 CLIFF RD E STE 301",
            "city": "BURNSVILLE",
            "state": "MN",
            "postal_code": "553371541",
            "telephone_number": "651-688-3486"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BETTY'S MOBILE OPTICAL, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-01-06",
        "last_updated": "2016-01-06",
        "status": "A",
        "authorized_official_last_name": "LEERVIG",
        "authorized_official_first_name": "BETTY",
        "authorized_official_middle_name": "KATHLEEN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "651-688-3486",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "332H00000X",
            "taxonomy_group": "",
            "desc": "Eyewear Supplier",
            "state": "MN",
            "license": "759560400029",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Eyewear Supplier in Burnsville, MN
• Providers in Burnsville, MN by specialty
• Eyewear Supplier in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 6, 2016; 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.