Individual provider Active NPI

Joseph Michael Slapnicher, O.D.

  • Optometrist
  • Hastings, MN
National Provider Identifier
1992728083
Registry record updated Apr 1, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
1548 Issued in MN
Practice address
1011 N Frontage Rd
Hastings, MN 55033-2662
Phone
(651) 437-5469
Fax
(651) 437-2910
NPI assigned
Jul 26, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 1, 2008

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 1548 MN Primary

Addresses

Primary practice location

1011 N Frontage Rd
Hastings, MN 55033-2662

Mailing address

1011 N Frontage Rd
Hastings, MN 55033-2662
Phone (651) 437-5469

Other identifiers 7

IdentifierTypeStateIssuer
611523300MedicaidMN
T40067OtherMNHEALTHPARTNERS
00979001OtherMNPREFERRED ONE
2202751OtherMNMEDICA
0357400001OtherMNAMINISTAR FEDERAL
0N565SLOtherMNBLUE CROSS BLUE SHIELD
410007491OtherMNRAILROAD MEDICARE

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MN
Eligible to order & refer
  • Part B services: No
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20120223000483 MN Practitioner - Optometry 0446220917 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
New England College of Optometry, 1971
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

1011 N Frontage Rd
Hastings, MN 55033-2662

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
1548MNMDMarriage & Family Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Rivertown Eye Care PA Optometrist CurrentSince Jan 1, 1974 Accepting new patients

Locations

1011 N Frontage Rd
Hastings, MN 55033
Phone (651) 437-5469

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1153872000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1207008000000",
    "number": "1992728083",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1011 N FRONTAGE RD",
            "city": "HASTINGS",
            "state": "MN",
            "postal_code": "550332662",
            "telephone_number": "651-437-5469",
            "fax_number": "651-437-2910"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1011 N FRONTAGE RD",
            "city": "HASTINGS",
            "state": "MN",
            "postal_code": "550332662",
            "telephone_number": "651-437-5469",
            "fax_number": "651-437-2910"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SLAPNICHER",
        "first_name": "JOSEPH",
        "middle_name": "MICHAEL",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-26",
        "last_updated": "2008-04-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "MN",
            "license": "1548",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "611523300",
            "state": "MN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HEALTHPARTNERS",
            "identifier": "T40067",
            "state": "MN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PREFERRED ONE",
            "identifier": "00979001",
            "state": "MN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICA",
            "identifier": "2202751",
            "state": "MN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AMINISTAR FEDERAL",
            "identifier": "0357400001",
            "state": "MN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "0N565SL",
            "state": "MN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "410007491",
            "state": "MN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Hastings, MN

Sources for this page

Verify at the official NPI Registry.