Dr. T.a. Pinke, Inc

Primary specialty

OptometristTaxonomy code 152W00000X

License

2375 Issued in MN

Legal business name

DR. T.A. PINKE, INC

Practice address

517 1St Ave S
Saint James, MN 56081-1727

Phone

(507) 375-3737

NPI assigned

Feb 12, 2008

Last updated

Mar 4, 2015By 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

Dr. Tim PinkeNPI 1508939182

Title

President

Phone

(507) 375-3737

Specialties & licenses 1

Addresses

Other identifiers 1

Practitioners 3

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.

• Tim A Pinke, O.D.

  • Optometrist
  • Saint James, MN
  • NPI 1508939182
  Authorized official Same address or phone
• Michael Perry Haedt, O.D.

  • Optometrist
  • Mankato, MN
  • NPI 1932180312
  NPD (past)
• Steven P Jeppson, O.D.

  • Optometrist
  • Saint James, MN
  • NPI 1366515272
  NPD (past)

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

{
    "created_epoch": "1202774400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1425427200000",
    "number": "1952579989",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "517 1ST AVE S",
            "address_2": "P.O. BOX 110",
            "city": "SAINT JAMES",
            "state": "MN",
            "postal_code": "560811727",
            "telephone_number": "507-375-3737"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "517 1ST AVE S",
            "city": "SAINT JAMES",
            "state": "MN",
            "postal_code": "560811727",
            "telephone_number": "507-375-3737"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DR. T.A. PINKE, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-02-12",
        "last_updated": "2015-03-04",
        "status": "A",
        "authorized_official_last_name": "PINKE",
        "authorized_official_first_name": "TIM",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "507-375-3737",
        "authorized_official_name_prefix": "Dr."
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "MN",
            "license": "2375",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "419000340",
            "state": "MN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• County of Watonwan (Watonwan County Human Services)
• Juan Carlos Davila, C.H.W.
• Angelica Maria De Acosta, CHW
• Paul Dorn, PTA
• Dr Steven Jeppson, Optometrist, PA (Eyecare Center of St James)
• DRS Moulton & Parsons MD
• Eagle Lake Family Dentistry, PA (St. James Family Dentistry)
• Lindy C Eatwell, DO
• Darci Lee Eigenberg, R.T (R)
• Kyle Robert Elliott, NP

• Optometrist in Saint James, MN
• Providers in Saint James, MN by specialty
• Optometrist in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 4, 2015; 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.