Kopp & Olson Eye Care, Inc

Primary specialty

OptometristTaxonomy code 152W00000X

License

3098 Issued in MN

Legal business name

KOPP & OLSON EYE CARE, INC

Practice address

6575 Cahill Ave Ste 101
Inver Grove Heights, MN 55076-2065

Phone

(651) 451-1100

Fax

(651) 451-3939

NPI assigned

Jun 29, 2017

Organization subpart

Yes

Parent organization

KOPP & OLSON EYE CARE, INCAs reported in NPPES

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

Authorized official

Name

Dr. Heidi Catherine Kopp, ODNPI 1750572392

Title

President

Phone

(651) 451-1100

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• EyeWorks Optical Doing business as

Medicare fee-for-service enrollment

Enrolled in MN

Enrollment records 1

Part of

Kopp Olson Eye Care Inc

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Heidi C Kopp, OD

  • Optometrist
  • Inver Grove Heights, MN
  • NPI 1750572392
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1498694400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1658361600000",
    "number": "1942721949",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6575 CAHILL AVE STE 101",
            "city": "INVER GROVE HEIGHTS",
            "state": "MN",
            "postal_code": "550762065",
            "telephone_number": "651-451-1100",
            "fax_number": "651-451-3939"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6575 CAHILL AVE STE 101",
            "city": "INVER GROVE HEIGHTS",
            "state": "MN",
            "postal_code": "550762065",
            "telephone_number": "651-451-1100",
            "fax_number": "651-451-3939"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KOPP & OLSON EYE CARE, INC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "KOPP & OLSON EYE CARE, INC",
        "enumeration_date": "2017-06-29",
        "last_updated": "2022-07-21",
        "certification_date": "2021-09-22",
        "status": "A",
        "authorized_official_last_name": "KOPP",
        "authorized_official_first_name": "HEIDI",
        "authorized_official_middle_name": "CATHERINE",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "651-451-1100",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "OD"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": "MN",
            "license": "3098",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "410003800",
            "state": "MN"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "EyeWorks Optical",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "EyeWorks Optical",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Sedona Kintz, MS, LADC
• Jordan Kirsch
• Sarah Kleban
• Lauren Klee, MD
• Jessica Taylor Knox, LMT
• Heidi C Kopp, OD
• Jamison Kortas
• Rachel Kos, OTR/L
• Brian Kraby, DDS
• Jessica Joan Krey, PHARMD

• Optometrist in Inver Grove Heights, MN
• Providers in Inver Grove Heights, MN by specialty
• Optometrist in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; 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.