The Eye Doctors Office, PA

Primary specialty

OptometristTaxonomy code 152W00000X

Legal business name

THE EYE DOCTORS OFFICE, PA

Practice address

747 Lake St E
Wayzata, MN 55391-1712

Phone

(952) 404-2020

Fax

(952) 404-0202

NPI assigned

Mar 20, 2007

Organization subpart

No

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

Authorized official

Name

Dr. Timothy P Haupert, ODNPI 1780777383

Title

President

Phone

(952) 404-2020

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Art of Optiks Doing business as

Medicare fee-for-service enrollment

Enrolled in MN

Enrollment records 1

Other NPIs on the same Medicare enrollment 1

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

• The Eye Doctors Office, PA

  • Optometrist
  • Minneapolis, MN
  • NPI 1003260290

  O20040415000295

  Same enrollment

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Tax ID family

Art of Optiks2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• The Eye Doctors Office, PA

  • Optometrist
  • Minneapolis, MN
  • NPI 1003260290
  NPD tax ID

Locations

Practitioners 4

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

• Timothy P Haupert, O.D.

  • Optometrist
  • Wayzata, MN
  • NPI 1780777383
  Medicare reassignment NPD Authorized official
• Brett Michael Hollenbach

  • Optometrist
  • Columbus, OH
  • NPI 1669953873

  MN

  Medicare reassignment Care Compare group NPD
• Victoria Whitman

  • Optometrist
  • Chicago, IL
  • NPI 1134538903

  MN

  Medicare reassignment Care Compare group NPD
• Caroline Paige St Ores

  • Optometrist
  • Chanhassen, MN
  • NPI 1649963752
  Medicare reassignment NPD

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

{
    "created_epoch": "1174348800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1679788800000",
    "number": "1962527754",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "747 LAKE ST E",
            "city": "WAYZATA",
            "state": "MN",
            "postal_code": "553911712",
            "telephone_number": "952-404-2020",
            "fax_number": "952-404-0202"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "747 LAKE ST E",
            "city": "WAYZATA",
            "state": "MN",
            "postal_code": "553911712",
            "telephone_number": "952-404-2020",
            "fax_number": "952-404-0202"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THE EYE DOCTORS OFFICE, PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-20",
        "last_updated": "2023-03-26",
        "certification_date": "2023-03-26",
        "status": "A",
        "authorized_official_last_name": "HAUPERT",
        "authorized_official_first_name": "TIMOTHY",
        "authorized_official_middle_name": "P",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "952-404-2020",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "OD"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": "MN",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "261385900",
            "state": "MN"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Art of Optiks",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Art of Optiks",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Taylor J. Stephens, D.D.S, P.a.
• Kenneth Floyd Tempero, MD, PHD
• Amanda Kay Templeton, LMT
• Frank C Thayer, LAMFT, LADC
• The Brost Clinic, PA
• Deborah A Thompson, RN
• William S. Tiede, M.D.
• Tonka Life Center
• Tree of Life Chiropractic Clinic P.a.
• True Care Health PA

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 26, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.