Spedale Optics LLC

Primary specialty

OpticianTaxonomy code 156FX1800X

Legal business name

SPEDALE OPTICS LLC

Practice address

14165 James Rd
Suite 106
Rogers, MN 55374-9317

Phone

(763) 515-6065

NPI assigned

Apr 12, 2010

Organization subpart

No

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

Authorized official

Name

Mr. David Ulrich

Title

Owner

Phone

(651) 636-6464

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1271030400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1271030400000",
    "number": "1972829208",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14165 JAMES RD",
            "address_2": "SUITE 106",
            "city": "ROGERS",
            "state": "MN",
            "postal_code": "553749317",
            "telephone_number": "763-515-6065"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14165 JAMES RD",
            "address_2": "SUITE 106",
            "city": "ROGERS",
            "state": "MN",
            "postal_code": "553749317",
            "telephone_number": "763-515-6065"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SPEDALE OPTICS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-04-12",
        "last_updated": "2010-04-12",
        "status": "A",
        "authorized_official_last_name": "ULRICH",
        "authorized_official_first_name": "DAVID",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "651-636-6464",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "156FX1800X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Technician/Technologist, Optician",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Optician in Rogers, MN
• Providers in Rogers, MN by specialty
• Optician in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 12, 2010; 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.