Active NPI
Steven Todd Monda, O.D.
- Optometrist
- Brainerd, MN
National Provider Identifier
1992774020
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- License
- 2322
- Practice address
- 506 Laurel St
Brainerd, MN 56401-3526 - Phone
- (218) 829-0946
- Fax
- (218) 829-1279
- NPI assigned
- Mar 14, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Optometrist | 152W00000X | 2322 | MN | Primary |
Addresses
Primary practice location
506 Laurel St
Brainerd, MN 56401-3526
Mailing address
506 Laurel St
Brainerd, MN 56401-3526
Phone (218) 829-0946
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 65018MO | Other | MN | BLUE CROSS BLUE SHIELD |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1142294400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1197590400000",
"number": "1992774020",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "506 LAUREL ST",
"city": "BRAINERD",
"state": "MN",
"postal_code": "564013526",
"telephone_number": "218-829-0946",
"fax_number": "218-829-1279"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "506 LAUREL ST",
"city": "BRAINERD",
"state": "MN",
"postal_code": "564013526",
"telephone_number": "218-829-0946",
"fax_number": "218-829-1279"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MONDA",
"first_name": "STEVEN",
"middle_name": "TODD",
"credential": "O.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-03-14",
"last_updated": "2007-12-14",
"status": "A"
},
"taxonomies": [
{
"code": "152W00000X",
"taxonomy_group": "",
"desc": "Optometrist",
"state": "MN",
"license": "2322",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CROSS BLUE SHIELD",
"identifier": "65018MO",
"state": "MN"
}
],
"endpoints": [],
"other_names": []
}Other providers in Brainerd, MN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 14, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.