Family Vision Clinic LLP

Primary specialty

OptometristTaxonomy code 152W00000X

License

530 Issued in ND

Legal business name

FAMILY VISION CLINIC LLP

Practice address

308 1/2 7TH Street North
Wilton, ND 58579

Phone

(701) 734-8137

NPI assigned

Sep 13, 2006

Organization subpart

No

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

Authorized official

Name

Dr. Amy M Fleck, O.D.NPI 1598712515

Title

Partner

Phone

(701) 734-8137

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in ND

Enrollment records 1

Other NPIs on the same Medicare enrollment 2

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

• Family Vision Clinic LLC

  • Clinic/Center
  • Elgin, ND
  • NPI 1013012327

  O20041006000613

  Same enrollment
• Family Vision Clinic LLC

  • Optometrist
  • Bismarck, ND
  • NPI 1235249475

  O20041006000613

  Same enrollment

Locations

Practitioners 1

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

• Amy Marie Fleck, OD

  • Optometrist
  • Bismarck, ND
  • NPI 1598712515
  NPD Authorized official

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

{
    "created_epoch": "1158105600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1922103233",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "308 1/2 7TH STREET NORTH",
            "city": "WILTON",
            "state": "ND",
            "postal_code": "58579",
            "telephone_number": "701-734-8137"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "308 1/2 7TH STREET NORTH",
            "city": "WILTON",
            "state": "ND",
            "postal_code": "58579",
            "telephone_number": "701-734-8137"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FAMILY VISION CLINIC LLP",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-09-13",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "FLECK",
        "authorized_official_first_name": "AMY",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "PARTNER",
        "authorized_official_telephone_number": "701-734-8137",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "O.D."
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": "ND",
            "license": "530",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Calvin Berg
• Kimberly Bultema
• John Hruby
• Mary Hruby
• Breah Philbrick
• Miranda Philbrick
• Valerie M Power

• Optometrist in Wilton, ND
• Providers in Wilton, ND by specialty
• Optometrist in North Dakota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.