Jorzach Inc

Primary specialty

OptometristTaxonomy code 152W00000X

License

2670 Issued in MN

Legal business name

JORZACH INC

Doing business as

Heartland Eyecare Center

Practice address

130 1St St W Ste 105
Canby, MN 56220-1465

Phone

(507) 223-5818

Fax

(507) 223-7737

NPI assigned

Oct 12, 2006

Last updated

Jun 16, 2023By 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

Mrs. Renae RiesNPI 1942216353

Title

Owner

Phone

(507) 223-5818

Specialties & licenses 3

Addresses

Other identifiers 6

Other names 1

• HEARTLAND EYECARE CENTER Doing business as

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.

• Renae Lynn Ries, OD

  • Optometrist
  • Canby, MN
  • NPI 1942216353
  Authorized official Same address or phone

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

{
    "created_epoch": "1160611200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1686873600000",
    "number": "1922197714",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "130 1ST ST W STE 105",
            "city": "CANBY",
            "state": "MN",
            "postal_code": "562201465",
            "telephone_number": "507-223-5818",
            "fax_number": "507-223-7737"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "130 1ST ST W STE 105",
            "city": "CANBY",
            "state": "MN",
            "postal_code": "562201465",
            "telephone_number": "507-223-5818",
            "fax_number": "507-223-7737"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JORZACH INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-12",
        "last_updated": "2023-06-16",
        "certification_date": "2023-06-16",
        "status": "A",
        "authorized_official_last_name": "RIES",
        "authorized_official_first_name": "RENAE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "507-223-5818",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "MN",
            "license": "2671",
            "primary": false
        },
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "MN",
            "license": "3204",
            "primary": false
        },
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "MN",
            "license": "2670",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UCARE",
            "identifier": "114766",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE PLUS",
            "identifier": "163J3HE",
            "state": "MN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "DA3363",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "044742100",
            "state": "MN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS OF MN",
            "identifier": "163J2HE",
            "state": "MN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HEALTH PARTNERS",
            "identifier": "97203",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "HEARTLAND EYECARE CENTER",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "HEARTLAND EYECARE CENTER",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Megan Jo Driessen, PHARMD RPH
• Luke Vincent Fuhrman, MD
• Holly L Gisi-York, CNP
• Adam Lee Hoffmann, PT, DPT, ITPT
• Jennifer Jackson, P.T.
• Craig Roy Kaddatz, DC
• Melissa Konold, PT
• Maritza Lopez, M.D.
• Katherine Joan Mackenzie, FNP-BC
• Beth Marie McMahon, M.A.

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 16, 2023; 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.