Northern Minnesota Eye Care LLC

Primary specialty

OptometristTaxonomy code 152W00000X

License

2979/2974 Issued in MN

Legal business name

NORTHERN MINNESOTA EYE CARE LLC

Practice address

1001 Cloquet Ave
Cloquet, MN 55720-1617

Phone

(218) 879-1558

NPI assigned

May 5, 2006

Last updated

Jan 7, 2009By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Sasha Niranjali Narayan, O.D.NPI 1275582421

Title

President

Phone

(218) 879-1558

Specialties & licenses 1

Addresses

Other identifiers 4

Medicare fee-for-service enrollment

Enrolled in MN2 enrollments

Enrollment records 2

Other NPIs on the same Medicare enrollment 1

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

• Northern Minnesota Eye Care LLC

  dba Vista Eyes

  • Optometrist
  • Virginia, MN
  • NPI 1407943897

  O20060808000477

  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

Medicare medical equipment & supply locations

Member of 1

Organizations this organization is a member of, according to the National Provider Directory.

• Moose Lake Eye Care LLC

  • Optometrist
  • Moose Lake, MN
  • NPI 1548580228

  Member Of

  NPD member

Member organizations 2

Organizations listed as members of this organization in the National Provider Directory.

• Moose Lake Eye Care LLC

  • Optometrist
  • Moose Lake, MN
  • NPI 1548580228

  Member Of

  NPD member
• Moose Lake Eye Care, LLC

  dba Northern Minnesota Eye Care, LLC

  • Optometrist
  • Hinckley, MN
  • NPI 1700263985

  Member Of

  NPD member

Locations

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Sasha Niranjali Narayan, O.D.

  • Optometrist
  • Cloquet, MN
  • NPI 1275582421
  Medicare reassignment Care Compare group NPD Authorized official
• Ashley Lynae Hamblin, OD

  • Optometrist
  • Moose Lake, MN
  • NPI 1437652070
  Medicare reassignment Care Compare group NPD
• Christopher Allen McDowell, O.D.

  • Optometrist
  • Cloquet, MN
  • NPI 1235188079
  Medicare reassignment Care Compare group NPD

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

{
    "created_epoch": "1146787200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1231286400000",
    "number": "1992754238",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1001 CLOQUET AVE",
            "city": "CLOQUET",
            "state": "MN",
            "postal_code": "557201617",
            "telephone_number": "218-879-1558"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1001 CLOQUET AVE",
            "city": "CLOQUET",
            "state": "MN",
            "postal_code": "557201617",
            "telephone_number": "218-879-1558"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NORTHERN MINNESOTA EYE CARE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-05-05",
        "last_updated": "2009-01-07",
        "status": "A",
        "authorized_official_last_name": "NARAYAN",
        "authorized_official_first_name": "SASHA",
        "authorized_official_middle_name": "NIRANJALI",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "218-879-1558",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "O.D."
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "MN",
            "license": "2979/2974",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "945665100",
            "state": "MN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "SPECTERA",
            "identifier": "16499",
            "state": "MN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS OF MN",
            "identifier": "488P1VI",
            "state": "MN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICA",
            "identifier": "21-00780",
            "state": "MN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Skott N. Nielsen, MD
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• Northstar Community Services LLC

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 7, 2009; 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.