North Land Optical Co

Primary specialty

OpticianTaxonomy code 156FX1800X

Legal business name

NORTH LAND OPTICAL CO

Practice address

600 E Superior St
Ste 111
Duluth, MN 55802-2222

Phone

(218) 722-4212

Fax

(218) 722-4212

NPI assigned

Oct 19, 2005

Organization subpart

No

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

Authorized official

Name

Mr. Ronald Charles Horn Jr.

Title

Owner

Phone

(218) 722-4212

Specialties & licenses 1

Addresses

Other identifiers 9

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

{
    "created_epoch": "1129680000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1309305600000",
    "number": "1891784062",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "600 E SUPERIOR ST",
            "address_2": "STE 111",
            "city": "DULUTH",
            "state": "MN",
            "postal_code": "558022222",
            "telephone_number": "218-722-4212",
            "fax_number": "218-722-4212"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "600 E SUPERIOR ST",
            "address_2": "STE 111",
            "city": "DULUTH",
            "state": "MN",
            "postal_code": "558022222",
            "telephone_number": "218-722-4212",
            "fax_number": "218-722-4212"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NORTH LAND OPTICAL CO",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-10-19",
        "last_updated": "2011-06-29",
        "status": "A",
        "authorized_official_last_name": "HORN",
        "authorized_official_first_name": "RONALD",
        "authorized_official_middle_name": "CHARLES",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "218-722-4212",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_name_suffix": "Jr."
    },
    "taxonomies": [
        {
            "code": "156FX1800X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Technician/Technologist, Optician",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICA GLASSES",
            "identifier": "2100559",
            "state": "MN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "FIRST PLAN BLUE",
            "identifier": "74610NO",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "794562100",
            "state": "MN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UCARE MN GLASSES",
            "identifier": "110498",
            "state": "MN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICA VISION",
            "identifier": "2200240",
            "state": "MN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HEALTH PARTNERS VISION",
            "identifier": "HP29194",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UCARE MN VISION",
            "identifier": "111276",
            "state": "MN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HEALTH PARTNERS GLASSES",
            "identifier": "61773",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "74610NO",
            "state": "MN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Optician in Duluth, MN
• Providers in Duluth, MN by specialty
• Optician in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 29, 2011; 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.