Warren Eye Care, P.C.

Primary specialty

OptometristTaxonomy code 152W00000X

License

2847 Issued in MN

Legal business name

WARREN EYE CARE, P.C.

Practice address

205 W Johnson Ave
Suite #1
Warren, MN 56762-1118

Phone

(218) 745-5151

Fax

(218) 745-6000

NPI assigned

Jul 23, 2007

Last updated

Oct 31, 2011By 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

Dr. Stacey Jean Bienek, O.D.NPI 1699730036

Title

Owner/Optometrist

Phone

(218) 745-5151

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in MN

Enrollment records 1

Locations

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.

• Stacey Jean Bienek, OO

  • Optometrist
  • Warren, MN
  • NPI 1699730036
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1185148800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1320019200000",
    "number": "1891995460",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "205 W JOHNSON AVE",
            "address_2": "SUITE #1",
            "city": "WARREN",
            "state": "MN",
            "postal_code": "567621118",
            "telephone_number": "218-745-5151",
            "fax_number": "218-745-6000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "205 W JOHNSON AVE",
            "address_2": "SUITE #1",
            "city": "WARREN",
            "state": "MN",
            "postal_code": "567621118",
            "telephone_number": "218-745-5151",
            "fax_number": "218-745-6000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WARREN EYE CARE, P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-07-23",
        "last_updated": "2011-10-31",
        "status": "A",
        "authorized_official_last_name": "BIENEK",
        "authorized_official_first_name": "STACEY",
        "authorized_official_middle_name": "JEAN",
        "authorized_official_title_or_position": "OWNER/OPTOMETRIST",
        "authorized_official_telephone_number": "218-745-5151",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "O.D."
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "MN",
            "license": "2847",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "779407000",
            "state": "MN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• The Evangelical Lutheran Good Samaritan Society (Good Samaritan Society - Warren)
• Warren Community Hospital, Inc. (North Valley Health Center)
• Warren Community Hospital, Inc. (North Valley Public Health)
• Warren Community Hospital, Inc. (North Valley Health Center)
• Warren Economic Development Authority (North Star Assisted Living)
• Warren Pharmacy Inc (Warren Pharmacy LTC)
• Warren Pharmacy Inc (Warren Pharmacy)
• Warren-Alvarado-Oslo Public School District No 2176
• Anita Whalen, DDS

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 31, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.