Active NPI
Alexandria Eye Clinic P.a.
- Clinic/Center
- Alexandria, MN
National Provider Identifier
1932167772
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinic/Center
- License
- 20870
- Legal business name
- ALEXANDRIA EYE CLINIC P.A.
- Practice address
- 2600 Jefferson St Ste 200
Alexandria, MN 56308-3410 - Phone
- (320) 762-2166
- Fax
- (605) 371-7199
- NPI assigned
- May 2, 2006
- Last updated
- May 21, 2024
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mark Allen Scharnberg
- Title
- Cfo
- Phone
- (605) 359-9155
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinic/Center | 261Q00000X | 20870 | MN | Primary |
Addresses
Primary practice location
2600 Jefferson St Ste 200
Alexandria, MN 56308-3410
Mailing address
3101 W 57TH St
Sioux Falls, SD 57108-3162
Phone (605) 371-7100
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 242392800 | Medicaid | MN |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MN
Enrollment records 1
National Provider Directory
National Provider DirectoryLocations
1501 Hawthorne St
Alexandria, MN 56308
Phone (320) 355-0953
Practitioners & affiliated clinicians
Practitioners 7
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.
-
- Ophthalmology Physician
- Alexandria, MN
- NPI 1083708671
-
- Ophthalmology Physician
- Alexandria, MN
- NPI 1871881656
-
- Optometrist
- Alexandria, MN
- NPI 1255595864
-
- Optometrist
- Alexandria, MN
- NPI 1679572440
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1146528000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1716249600000",
"number": "1932167772",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3101 W 57TH ST",
"city": "SIOUX FALLS",
"state": "SD",
"postal_code": "571083162",
"telephone_number": "605-371-7100",
"fax_number": "605-371-7199"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2600 JEFFERSON ST STE 200",
"city": "ALEXANDRIA",
"state": "MN",
"postal_code": "563083410",
"telephone_number": "320-762-2166",
"fax_number": "605-371-7199"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "ALEXANDRIA EYE CLINIC P.A.",
"organizational_subpart": "NO",
"enumeration_date": "2006-05-02",
"last_updated": "2024-05-21",
"certification_date": "2024-05-21",
"status": "A",
"authorized_official_last_name": "SCHARNBERG",
"authorized_official_first_name": "MARK",
"authorized_official_middle_name": "ALLEN",
"authorized_official_title_or_position": "CFO",
"authorized_official_telephone_number": "605-359-9155"
},
"taxonomies": [
{
"code": "261Q00000X",
"taxonomy_group": "",
"desc": "Clinic/Center",
"state": "MN",
"license": "20870",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "242392800",
"state": "MN"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Alexandria, MN
- Alex PT LLC
- Alexandria Apothecary Inc. (alexandria apothecary)
- Alexandria Area Young Men's Christian Association
- Alexandria Chiropractic LLC
- Alexandria Clinic PA
- Alexandria Hearing Center
- Alexandria Imaging, LLC
- Alexandria Industries Family Health & Wellness Clinic
- Alexandria Rehabilitation LLC (Alexandria Rehabilitation)
- Alexandria Upper Extremity & Hand Therapy
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 21, 2024; 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.