Active NPI
Karl Minzenmayer
- Optician
- Colorado Springs, CO
National Provider Identifier
1932618550
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optician
- Practice address
- 358 Main St
Colorado Springs, CO 80911-1713 - Phone
- (719) 391-2000
- NPI assigned
- Sep 26, 2017
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Optician | 156FX1800X | Primary |
Addresses
Primary practice location
358 Main St
Colorado Springs, CO 80911-1713
Mailing address
358 Main St
Colorado Springs, CO 80911-1713
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 82-1720644 | Medicaid | CO |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Impressive Eyes Optical | Optician | Current | Accepting new patients |
| Martin Vision PC | Past | Accepting new patients |
Locations
358 Main St
Colorado Springs, CO 80911
Phone (719) 391-2000
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Optician
- Colorado Springs, CO
- NPI 1720635220
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1506384000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1506384000000",
"number": "1932618550",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "358 MAIN ST",
"city": "COLORADO SPRINGS",
"state": "CO",
"postal_code": "809111713"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "358 MAIN ST",
"city": "COLORADO SPRINGS",
"state": "CO",
"postal_code": "809111713",
"telephone_number": "719-391-2000"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MINZENMAYER",
"first_name": "KARL",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2017-09-26",
"last_updated": "2017-09-26",
"status": "A"
},
"taxonomies": [
{
"code": "156FX1800X",
"taxonomy_group": "",
"desc": "Technician/Technologist, Optician",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "82-1720644",
"state": "CO"
}
],
"endpoints": [],
"other_names": []
}Other providers in Colorado Springs, CO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 26, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.