Optometric Services, LLC.

Primary specialty

OptometristTaxonomy code 152W00000X

License

2258 Issued in MN

Legal business name

OPTOMETRIC SERVICES, LLC.

Practice address

1980 South Robert St
West St Paul, MN 55118

Phone

(651) 451-1805

Fax

(651) 451-0330

NPI assigned

Apr 7, 2009

Organization subpart

No

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

Authorized official

Name

Dr. Thomas J Meyer, O.D.NPI 1265500730

Title

Optometrist

Phone

(651) 592-8422

Specialties & licenses 1

Addresses

Tax ID family

Optometric Services LLC2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• Optometric Services, LLC

  • Optometrist
  • Roseville, MN
  • NPI 1518010495
  NPD tax ID

Locations

Practitioners 1

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

• Thomas Joseph Meyer, OD

  • Optometrist
  • Roseville, MN
  • NPI 1265500730
  NPD Authorized official

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

{
    "created_epoch": "1239062400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1242604800000",
    "number": "1902049943",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1980 SOUTH ROBERT ST",
            "city": "WEST ST. PAUL",
            "state": "MN",
            "postal_code": "55118",
            "telephone_number": "651-451-1805",
            "fax_number": "651-451-0330"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1980 SOUTH ROBERT ST",
            "city": "WEST ST PAUL",
            "state": "MN",
            "postal_code": "55118",
            "telephone_number": "651-451-1805",
            "fax_number": "651-451-0330"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OPTOMETRIC SERVICES, LLC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-04-07",
        "last_updated": "2009-05-18",
        "status": "A",
        "authorized_official_last_name": "MEYER",
        "authorized_official_first_name": "THOMAS",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "OPTOMETRIST",
        "authorized_official_telephone_number": "651-592-8422",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "O.D."
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": "MN",
            "license": "2258",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Madeline Alesca North, LPCC
• Northland Dental Partners, PLLC (Metro Dentalcare West St. Paul)
• Novacare Outpatient Rehabilitation East Inc
• Fierra Megan Nussbaum, MSW, LICSW
• Opportunity Partners Inc. (Lavine Place)
• Emma S Ostby, MD
• Megan Paulsen
• Theresa Joan Pavek
• Phoenix Service Corporation
• Hailey Phoulavan, DPT

• Optometrist in West St Paul, MN
• Providers in West St Paul, MN by specialty
• Optometrist in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 18, 2009; 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.