MIDWEST VISION CENTERS INC (NPI# 1144364894) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1144364894 |
| Entity Type | Organization |
| Organization Name | MIDWEST VISION CENTERS INC |
| Other Organization Name | MIDWEST VISION CENTERS |
| Practice Address |
830 Washington Avenue Detroit Lakes MN 56501 |
| Mailing Address |
Po Box 456 Saint Cloud MN 56302 |
| Practice Telephone | 2188472127 |
| Practice Fax Number | 2188470911 |
| Mailing Telephone | 3202525777 |
| Mailing Fax Number | 3202583136 |
| Enumeration Date | 2007-02-16 |
| Last Update Date | 2015-12-18 |
| Authorized Official Name | CARI M EVANS (DIRECTOR OF OPERATIONS) |
| Authorized Official Telephone | 3202525777 |
| Is Organization Subpart | Y |
| Parent Organization Name | MIDWEST VISION CENTERS INC. |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 332H00000X | Eyewear Supplier (Equipment, not the service) | Suppliers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MN | MEDICA PROVIDER ID EXAMS | 22-00802 | 01 |
| MN | EYEMED PROVIDER NUMBER | MN1917 | 01 |
| MN | 125785400 | 05 | |
| MN | MEDICA PROVIDER ID DISPEN | 21-12067 | 01 |
| MN | BCBS MN EXAMS | 24G89ST | 01 |
| ND | NORTH DAKOTA VISION SERVI | 890422 | 01 |
| MN | BCBS MINNESOTA | 04S34ST | 01 |
| Other Name | Type Code |
|---|---|
| Midwest Vision Centers | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1447323373 | Midwest Vision Centers Inc | Technician/Technologist | 3206 Easten Shopping Center, Moorhead, MN 56560 | 2006-11-16 |
| 1396817953 | Midwest Vision Centers Inc | Technician/Technologist | 418 W 3rd St, Red Wing, MN 55066-2309 | 2006-11-15 |
| 1346312998 | Midwest Vision Centers Inc | Technician/Technologist | 1605 1st St S, Willmar, MN 56201-4234 | 2006-11-15 |
| 1801968482 | Midwest Vision Centers Inc | Technician/Technologist | 288 S State St, Fairmont, MN 56031-4151 | 2006-11-15 |
| 1306918024 | Midwest Vision Centers Inc | Technician/Technologist | 211 Labree Ave N, Thief River Falls, MN 56701-2034 | 2006-11-15 |
| 1073685640 | Midwest Vision Centers Inc | Technician/Technologist | 1060 Highway 15 S, Hutchinson, MN 55350-3157 | 2006-11-15 |
| 1689747230 | Midwest Vision Centers Inc | Technician/Technologist | 318 Jefferson St S, Wadena, MN 56482-1556 | 2006-11-15 |
| 1407928187 | Midwest Vision Centers Inc | Technician/Technologist | 1113 E College Drive, Marshall, MN 56258 | 2006-11-15 |
| 1215009881 | Midwest Vision Centers Inc | Technician/Technologist | 205 16th St Ne Suite D, Little Falls, MN 56345-3314 | 2006-11-15 |
| 1295807824 | Midwest Vision Centers Inc | Technician/Technologist | 3306 State Highway 210 W, Fergus Falls, MN 56537-4002 | 2006-11-15 |
| Street Address |
830 WASHINGTON AVENUE |
| City | DETROIT LAKES |
| State | MN |
| Zip Code | 56501 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1588265649 | Candace Louise Haugtvedt | Pharmacist | 321 Us-10 West, Detroit Lakes, MN 56501 | 2020-11-05 |
| 1679068407 | Strive Chiropractic Detroit Lakes LLC | Chiropractor | 1852 Nodaway Drive, Detroit Lakes, MN 56501 | 2018-06-25 |
| 1194215830 | Jordan James Reese | Registered Nurse | 1295 Bay Ridge Dr, Detroit Lakes, MN 56501 | 2018-05-17 |
| 1992179386 | Compassion House | Substance Abuse Rehabilitation Facility | 811 8th St. Se, Detroit Lakes, MN 56501 | 2015-11-23 |
| 1720344286 | Lakes Crisis & Resource Center | Clinic/Center | 1339 Pelican Lane, Detroit Lakes, MN 56501 | 2012-04-09 |
| 1063657120 | Diane Jean Mccormack | Occupational Therapist | 15840 Long Lake Road, Detroit Lakes, MN 56501 | 2008-12-03 |
| 1588817928 | Darcy Caleb Olson | Counselor | 925 Lake Ave, Detroit Lakes, MN 56501 | 2008-10-29 |
| 1760651079 | Rapidcare Urgent Care Pllc | Family Medicine | 1361 Wenner Road, Detroit Lakes, MN 56501 | 2008-02-21 |
| 1427274729 | Jeffrey C Gregory | Psychologist | 910 Lincoln Ave, Detroit Lakes, MN 56501 | 2007-04-17 |
| 1437290335 | St Mary's Regional Health Center | Assisted Living Facility | 208 Oak Street, Detroit Lakes, MN 56501 | 2007-02-12 |
| Find all providers in zip 56501 | ||||
| Taxonomy Code | 332H00000X |
| Grouping | Suppliers |
| Classification | Eyewear Supplier (Equipment, not the service) |
| An organization that provides spectacles, contact lenses, and other vision enhancement devices prescribed by an optometrist or ophthalmologist. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1891965562 | Bruce D Nelson | Eyewear Supplier (Equipment, not the service) | 1131 Jackson Ave, Detroit Lakes, MN 56501-3618 | 2008-03-09 |
| 1427338722 | Sanford Medical Center Fargo | Eyewear Supplier (Equipment, not the service) | 1245 Washington Ave, Detroit Lakes, MN 56501-3905 | 2011-08-18 |
| 1124184403 | Sanford Clinic North | Eyewear Supplier (Equipment, not the service) | 1245 Washington Ave, Detroit Lakes, MN 56501-3905 | 2006-12-29 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1801493903 | Shoptikal LLC | Eyewear Supplier (Equipment, not the service) | 11995 Business Park Blvd N, Champlin, MN 55316 | 2020-10-02 |
| 1659920460 | Jand. Inc. | Eyewear Supplier (Equipment, not the service) | 3408 Galleria, Edina, MN 55435 | 2019-09-05 |
| 1891351268 | Shoptikal LLC | Eyewear Supplier (Equipment, not the service) | 1101 E College Dr, Marshall, MN 56258-2366 | 2019-05-11 |
| 1730745100 | Shoptikal LLC | Eyewear Supplier (Equipment, not the service) | 1459 W Service Dr, Winona, MN 55987-2512 | 2019-05-11 |
| 1649836016 | Shoptikal LLC | Eyewear Supplier (Equipment, not the service) | 1023 E Blue Earth Ave, Fairmont, MN 56031-4076 | 2019-05-11 |
| 1124684592 | Shoptikal LLC | Eyewear Supplier (Equipment, not the service) | 1004 18th Ave Nw Ste D, Austin, MN 55912-1993 | 2019-05-11 |
| 1053977421 | Shoptikal LLC | Eyewear Supplier (Equipment, not the service) | 1620 Broadway Ave S Ste 4, Rochester, MN 55904-7927 | 2019-05-11 |
| 1942866371 | Shoptikal LLC | Eyewear Supplier (Equipment, not the service) | 4051 W Division St Ste A, Saint Cloud, MN 56301-3741 | 2019-05-10 |
| 1831651165 | Don Sealock, O.d., P.a. | Eyewear Supplier (Equipment, not the service) | 3366 Oakdale Ave N Ste 140, Robbinsdale, MN 55422-2961 | 2019-04-04 |
| 1538624341 | Don Sealock, O.d., P.a. | Eyewear Supplier (Equipment, not the service) | 9825 Hospital Dr # 106, Maple Grove, MN 55369-4479 | 2019-02-06 |
| Find all providers with the same taxonomy | ||||
| City | DETROIT LAKES |
| Zip Code | 56501 |
Please comment or provide details below to improve the information on MIDWEST VISION CENTERS INC.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.