20/20 Eyecare & Optics, LLC

Primary specialty

OptometristTaxonomy code 152W00000X

License

2966 Issued in MN

Legal business name

20/20 EYECARE & OPTICS, LLC

Practice address

1510 125TH Ave NE
Blaine, MN 55449-4749

Phone

(763) 755-9380

Fax

(763) 755-9415

NPI assigned

Mar 28, 2011

Organization subpart

No

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

Authorized official

Name

Mrs. Angela Musland, O.D.

Title

Optometrist

Phone

(651) 746-9066

Specialties & licenses 1

Addresses

Locations

Practitioners 1

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

• John Bockhaus, O. D.

  • Optometrist
  • Blaine, MN
  • NPI 1841326584
  NPD (past)

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

{
    "created_epoch": "1301270400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1339718400000",
    "number": "1982993135",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1510 125TH AVE NE",
            "city": "BLAINE",
            "state": "MN",
            "postal_code": "554494749"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1510 125TH AVE NE",
            "city": "BLAINE",
            "state": "MN",
            "postal_code": "554494749",
            "telephone_number": "763-755-9380",
            "fax_number": "763-755-9415"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "20/20 EYECARE & OPTICS, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-03-28",
        "last_updated": "2012-06-15",
        "status": "A",
        "authorized_official_last_name": "MUSLAND",
        "authorized_official_first_name": "ANGELA",
        "authorized_official_title_or_position": "OPTOMETRIST",
        "authorized_official_telephone_number": "651-746-9066",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "O.D."
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": "MN",
            "license": "2966",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• All providers in Blaine, MN
• Optometrist in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 15, 2012; 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.