NPIMap

Organization Active NPI

Zumbrota Optometric Center, P.a.

  • Optometrist
  • Zumbrota, MN
National Provider Identifier
1891945374
Registry record updated Oct 16, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
Legal business name
ZUMBROTA OPTOMETRIC CENTER, P.A.
Practice address
352 S Main St
Zumbrota, MN 55992-1544
Phone
(507) 732-5013
Fax
(507) 732-5401
NPI assigned
Sep 22, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 16, 2008

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

Authorized official

Name
Dr. Kevin Langeson Kish, O.D.
Title
Owner
Phone
(507) 732-5013

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
OptometristGroup: 193400000X SINGLE SPECIALTY GROUP 152W00000X Primary

Addresses

Primary practice location

352 S Main St
Zumbrota, MN 55992-1544

Mailing address

PO Box 38
Zumbrota, MN 55992-0038
Phone (507) 732-5013

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1222041600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1224115200000",
    "number": "1891945374",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 38",
            "city": "ZUMBROTA",
            "state": "MN",
            "postal_code": "559920038",
            "telephone_number": "507-732-5013",
            "fax_number": "507-732-5401"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "352 S MAIN ST",
            "city": "ZUMBROTA",
            "state": "MN",
            "postal_code": "559921544",
            "telephone_number": "507-732-5013",
            "fax_number": "507-732-5401"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ZUMBROTA OPTOMETRIC CENTER, P.A.",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-09-22",
        "last_updated": "2008-10-16",
        "status": "A",
        "authorized_official_last_name": "KISH",
        "authorized_official_first_name": "KEVIN",
        "authorized_official_middle_name": "LANGESON",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "507-732-5013",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "O.D."
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Zumbrota, MN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 16, 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.