NPIMap

Organization Active NPI

Hadden Eyecare Associates

  • Optometrist
  • Bloomington, MN
National Provider Identifier
1992991426
Registry record updated Sep 18, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
2243 Issued in MN
Legal business name
HADDEN EYECARE ASSOCIATES
Practice address
715 E 78TH St
C/O Wal-Mart Vision Center
Bloomington, MN 55420-1397
Phone
(952) 854-2262
Fax
(952) 854-5493
NPI assigned
Sep 18, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 18, 2007

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

Authorized official

Name
Dr. Scott D Hadden, O.D.NPI 1144339979
Title
President
Phone
(952) 443-3110

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
OptometristGroup: 193400000X SINGLE SPECIALTY GROUP 152W00000X 2243 MN Primary

Addresses

Primary practice location

715 E 78TH St
C/O Wal-Mart Vision Center
Bloomington, MN 55420-1397

Mailing address

PO Box 300
Victoria, MN 55386-0300
Phone (952) 443-3110

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MN

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20090204000223 MN Part B Supplier - Clinic/Group Practice 5597829630 Receives reassigned benefits from 7 practitioners
Practice locations: Hastings, MN; Winona, MN; Rochester, MN; Lakeville, MN; Inver Grove HGTS, MN; Hermantown, MN; Chaska, MN; Cambridge, MN…

National Provider Directory

National Provider Directory

Locations

700 American Blvd E
Bloomington, MN 55420
Phone (952) 854-2262

20710 Keokuk Ave
Lakeville, MN 55044
Phone (612) 354-5931

245 Tyler Rd S
Red Wing, MN 55066

3400 55th St NW
Rochester, MN 55901
Phone (507) 280-7665

8101 Old Carriage Ct
Shakopee, MN 55379
Phone (952) 445-8058

Practitioners & affiliated clinicians

Practitioners 9

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

NPI Registry JSON

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

{
    "created_epoch": "1190073600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1190073600000",
    "number": "1992991426",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 300",
            "city": "VICTORIA",
            "state": "MN",
            "postal_code": "553860300",
            "telephone_number": "952-443-3110",
            "fax_number": "952-443-2387"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "715 E 78TH ST",
            "address_2": "C/O WAL-MART VISION CENTER",
            "city": "BLOOMINGTON",
            "state": "MN",
            "postal_code": "554201397",
            "telephone_number": "952-854-2262",
            "fax_number": "952-854-5493"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HADDEN EYECARE ASSOCIATES",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-09-18",
        "last_updated": "2007-09-18",
        "status": "A",
        "authorized_official_last_name": "HADDEN",
        "authorized_official_first_name": "SCOTT",
        "authorized_official_middle_name": "D",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "952-443-3110",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "O.D."
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": "MN",
            "license": "2243",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bloomington, MN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 18, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.