Organization Active NPI

Eye U PLLC

  • Optometrist
  • Stillwater, MN
National Provider Identifier
1902237258
Registry record updated Dec 11, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
2105 Issued in MN
Legal business name
EYE U PLLC
Practice address
13481 60TH St N
Suite 200
Stillwater, MN 55082-1055
Phone
(651) 439-6400
Fax
(651) 439-6405
NPI assigned
Dec 11, 2013
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 11, 2013

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

Authorized official

Name
Dr. Wendy Seyller, O.D.NPI 1891881512
Title
Optometrist/Owner
Phone
(651) 249-6537

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
OptometristGroup: 193400000X SINGLE SPECIALTY GROUP 152W00000X 2105 MN Primary

Addresses

Primary practice location

13481 60TH St N
Suite 200
Stillwater, MN 55082-1055

Mailing address

13481 60TH St N
Suite 200
Stillwater, MN 55082-1055
Phone (651) 439-6400

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MN

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20140424001827 MN Part B Supplier - Clinic/Group Practice 7719110808 Receives reassigned benefits from 1 practitioner
Practice locations: Stillwater, MN

National Provider Directory

National Provider Directory

Locations

1778 Washington Ave S
Stillwater, MN 55082
Phone (651) 439-6400

13481 60th St N
Ste 200
Stillwater, MN 55082
Phone (651) 439-6400

Practitioners & affiliated clinicians

Practitioners 1

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": "1386720000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1386720000000",
    "number": "1902237258",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13481 60TH ST N",
            "address_2": "SUITE 200",
            "city": "STILLWATER",
            "state": "MN",
            "postal_code": "550821055",
            "telephone_number": "651-439-6400",
            "fax_number": "651-439-6405"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13481 60TH ST N",
            "address_2": "SUITE 200",
            "city": "STILLWATER",
            "state": "MN",
            "postal_code": "550821055",
            "telephone_number": "651-439-6400",
            "fax_number": "651-439-6405"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EYE U PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-12-11",
        "last_updated": "2013-12-11",
        "status": "A",
        "authorized_official_last_name": "SEYLLER",
        "authorized_official_first_name": "WENDY",
        "authorized_official_title_or_position": "OPTOMETRIST/OWNER",
        "authorized_official_telephone_number": "651-249-6537",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "O.D."
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": "MN",
            "license": "2105",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Stillwater, MN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 11, 2013; 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.