Santaluz Limited, LLC

Primary specialty

OptometristTaxonomy code 152W00000X

Legal business name

SANTALUZ LIMITED, LLC

Practice address

143 Oak St
Excelsior, MN 55331-3030

Phone

(952) 401-1701

Fax

(952) 401-7908

NPI assigned

Feb 8, 2010

Organization subpart

No

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

Authorized official

Name

Mr. Jason Eric Trucano

Title

Owner

Phone

(952) 401-1701

Specialties & licenses 4

Addresses

Other names 1

• Brevier Optical Doing business as

Practitioners 2

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

• Jeffrey Paul Sanderson, M.D.

  • Ophthalmology Physician
  • Edina, MN
  • NPI 1669464970
  NPD (past)
• Jason Gerard Jedlicka, O.D.

  • Optometrist
  • Bloomington, IN
  • NPI 1669484622
  NPD (past)

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

{
    "created_epoch": "1265587200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1289433600000",
    "number": "1902138407",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "143 OAK ST",
            "city": "EXCELSIOR",
            "state": "MN",
            "postal_code": "553313030",
            "telephone_number": "952-401-1701",
            "fax_number": "952-401-7908"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "143 OAK ST",
            "city": "EXCELSIOR",
            "state": "MN",
            "postal_code": "553313030",
            "telephone_number": "952-401-1701",
            "fax_number": "952-401-7908"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SANTALUZ LIMITED, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-02-08",
        "last_updated": "2010-11-11",
        "status": "A",
        "authorized_official_last_name": "TRUCANO",
        "authorized_official_first_name": "JASON",
        "authorized_official_middle_name": "ERIC",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "952-401-1701",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Optometrist",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "152WC0802X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Optometrist, Corneal and Contact Management",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "156FX1800X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Technician/Technologist, Optician",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207W00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Ophthalmology",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Brevier Optical",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Briana Marie Rueda, DO
• Sabina Rukiya Sabur, MA, CCC-A
• Troy Arthur Sailer, DC
• Laura Salazar, BCTMB
• Susan Watkins Sanda, SLP
• Nathalie Sawinski
• Abby Leigh Schaehrer
• Joshua Scheck
• Allison Scheerer, OTR/L
• Deborah Schield, PTA

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 11, 2010; 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.