Organization Active NPI

Zen Eye Care PLLC

  • Optometrist
  • Duluth, MN
National Provider Identifier
1922457183
Registry record updated Jun 8, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
3420 Issued in MN
Legal business name
ZEN EYE CARE PLLC
Practice address
2106 London Road
Duluth, MN 55812
Phone
(218) 522-4645
NPI assigned
Jun 8, 2016
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 8, 2016

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

Authorized official

Name
Dr. Eric Bohjanen, O.D.NPI 1477512697
Title
Owner
Phone
(218) 522-4645

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 3420 MN Primary

Addresses

Primary practice location

2106 London Road
Duluth, MN 55812

Mailing address

3715 Greysolon PL
Duluth, MN 55804-2027
Phone (218) 522-4645

Other identifiers 1

IdentifierTypeStateIssuer
19686757MedicaidCO

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20160829003227 MN Part B Supplier - Clinic/Group Practice 8426343443 Receives reassigned benefits from 1 practitioner
Practice locations: Duluth, MN

National Provider Directory

National Provider Directory

Locations

2106 London Rd
Duluth, MN 55812
Phone (218) 522-4645

Practitioners & affiliated clinicians

Practitioners 3

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": "1465344000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1465344000000",
    "number": "1922457183",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3715 GREYSOLON PL",
            "city": "DULUTH",
            "state": "MN",
            "postal_code": "558042027",
            "telephone_number": "218-522-4645"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2106 LONDON ROAD",
            "city": "DULUTH",
            "state": "MN",
            "postal_code": "55812",
            "telephone_number": "218-522-4645"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ZEN EYE CARE PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-06-08",
        "last_updated": "2016-06-08",
        "status": "A",
        "authorized_official_last_name": "BOHJANEN",
        "authorized_official_first_name": "ERIC",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "218-522-4645",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "O.D."
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": "MN",
            "license": "3420",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "19686757",
            "state": "CO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Duluth, MN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 8, 2016; 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.