Litchfield Eye Clinic

Primary specialty

OptometristTaxonomy code 152W00000X

License

1586 Issued in MN

Legal business name

LITCHFIELD EYE CLINIC

Practice address

715 N Sibley Ave
Litchfield, MN 55355-1765

Phone

(320) 693-3100

Fax

(320) 693-2312

NPI assigned

Nov 15, 2006

Last updated

Aug 22, 2020By 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

Terrance Tancabel, OD

Title

Optometry

Phone

(320) 693-3100

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1163548800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1932272473",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "715 N SIBLEY AVE",
            "city": "LITCHFIELD",
            "state": "MN",
            "postal_code": "553551765",
            "telephone_number": "320-693-3100",
            "fax_number": "320-693-2312"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "715 N SIBLEY AVE",
            "city": "LITCHFIELD",
            "state": "MN",
            "postal_code": "553551765",
            "telephone_number": "320-693-3100",
            "fax_number": "320-693-2312"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LITCHFIELD EYE CLINIC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-15",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "TANCABEL",
        "authorized_official_first_name": "TERRANCE",
        "authorized_official_title_or_position": "OPTOMETRY",
        "authorized_official_telephone_number": "320-693-3100",
        "authorized_official_credential": "OD"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": "MN",
            "license": "1586",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Linda Carol Larson, PHN
• Thad Peter Larson, CRNA
• Laura Laxen
• Andie Lideen
• Litchfield Chiropractic Center LLC
• Litchfield Eye Clinic LLC (Family Eye Center)
• Litchfield Operations LLC
• Richard George Lorenz, DDS
• Kathy Lotzer
• Tracy Madsen, RN

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

• 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.