Calvin Optometry PLLC

Primary specialty

OptometristTaxonomy code 152W00000X

License

1643 Issued in MN

Legal business name

CALVIN OPTOMETRY PLLC

Doing business as

Scenic Eye Care

Practice address

1995 Burns Ave.
Suite B
Saint Paul, MN 55119-4906

Phone

(651) 739-5173

Fax

(651) 739-8907

NPI assigned

Dec 26, 2006

Organization subpart

No

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

Authorized official

Name

Donald Wayne Calvin, O.D.

Title

Chief Manager

Phone

(651) 739-5173

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Scenic Eye Care Doing business as

Locations

Practitioners 1

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

• Solomon M Gould, OD

  • Optometrist
  • Saint Paul, MN
  • NPI 1518232149
  NPD (past)

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

{
    "created_epoch": "1167091200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1231372800000",
    "number": "1982769501",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2540 EAGLE VALLEY DR",
            "city": "WOODBURY",
            "state": "MN",
            "postal_code": "551294206",
            "telephone_number": "651-738-2758"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1995 BURNS AVE.",
            "address_2": "SUITE B",
            "city": "SAINT PAUL",
            "state": "MN",
            "postal_code": "551194906",
            "telephone_number": "651-739-5173",
            "fax_number": "651-739-8907"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CALVIN OPTOMETRY PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-12-26",
        "last_updated": "2009-01-08",
        "status": "A",
        "authorized_official_last_name": "CALVIN",
        "authorized_official_first_name": "DONALD",
        "authorized_official_middle_name": "WAYNE",
        "authorized_official_title_or_position": "CHIEF MANAGER",
        "authorized_official_telephone_number": "651-739-5173",
        "authorized_official_credential": "O.D."
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": "MN",
            "license": "1643",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "669493400",
            "state": "MN"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Scenic Eye Care",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Vita Marie Callari, LCSW
• Alyson Calo, LGSW
• Calvary Care Services
• Jesus M Calvillo
• Toni Raquel Calvillo
• Steve Cambrice, LMFT
• Jennifer Ann Cameron, M.D.
• Cami Community Health and Trauma Recovery LLC
• Christina Eileen Campbell, DO
• David Campbell

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 8, 2009; 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.