FAMILY EYE CARE CENTER OF AUSTIN INC. (NPI# 1417119744) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1417119744 |
Entity Type | Organization |
Organization Name | FAMILY EYE CARE CENTER OF AUSTIN INC. |
Practice Address |
200 14th St Nw Austin MN 55912-4645 |
Practice Telephone | 5074373227 |
Practice Fax Number | 5074378070 |
Mailing Telephone | 5074373227 |
Mailing Fax Number | 5074378070 |
Enumeration Date | 2008-06-27 |
Last Update Date | 2009-09-30 |
Authorized Official Name | DR. JEFFREY LEON ANDERSON (OPTOMETRIST) |
Authorized Official Telephone | 5074373227 |
Authorized Official Credential | O.D. |
Is Organization Subpart | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 332H00000X | Eyewear Supplier (Equipment, not the service) | Suppliers |
Street Address |
200 14TH ST NW |
City | AUSTIN |
State | MN |
Zip Code | 55912-4645 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1427044916 | Jeffrey L Anderson | Optometrist | 200 14th St Nw, Austin, MN 55912-4645 | 2005-09-21 |
1366000697 | Dessie Dee Mason | Optometrist | 200 14th St Nw, Austin, MN 55912-4699 | 2019-06-02 |
1730339714 | Duane J Wallaker | Optometrist | 200 14th St Nw, Austin, MN 55912-4645 | 2008-09-25 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1710538152 | Reliable Medical Supply LLC | Durable Medical Equipment & Medical Supplies | 313 2nd Ave Ne, Austin, MN 55912 | 2019-09-26 |
1669029831 | David Kuehn | Specialist/Technologist | 1508 Main St. N, Austin, MN 55912 | 2019-08-22 |
1841844396 | Heather A Peterson | Social Worker | 101 21st Street Se, Austin, MN 55912 | 2019-08-01 |
1477058287 | Gerard Academy | Counselor | 1101 28th St Ne, Austin, MN 55912 | 2018-03-26 |
1821518739 | Steven Register | Specialist/Technologist | 1803 2nd Ave Sw, Austin, MN 55912 | 2017-06-21 |
1366849259 | Kristen Ashley Templeton | Dentist | 800 1st Avenue Sw, Austin, MN 55912 | 2014-11-20 |
1336560333 | Rem Woodvale, Inc. Cottonwood | Intermediate Care Facility, Mentally Retarded | 2311 9th Avenue Sw, Austin, MN 55912 | 2013-12-18 |
1780923458 | Kurt Baumgartner | Hearing Instrument Specialist | 507 1 St Nw, Austin, MN 55912 | 2013-01-31 |
1396059242 | Lorna Kay Siefke-harbor | Psychologist | 902 19th Ave Sw, Austin, MN 55912 | 2010-08-03 |
1972777068 | Stanley Brent Stutzman | Psychologist | 301 12 Place Nw, Austin, MN 55912 | 2008-04-18 |
Find all providers in zip 55912 |
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 |
---|---|---|---|---|
1407481971 | Luxottica of America Inc. | Eyewear Supplier (Equipment, not the service) | 5621 N Ih 35, Austin, TX 78723-2431 | 2020-03-05 |
1124684592 | Shoptikal LLC | Eyewear Supplier (Equipment, not the service) | 1004 18th Ave Nw Ste D, Austin, MN 55912-1993 | 2019-05-11 |
1548787658 | Jand. Inc. | Eyewear Supplier (Equipment, not the service) | 1317 S Congress Ave, Austin, TX 78704-2432 | 2017-08-29 |
1093232118 | Jand. Inc. | Eyewear Supplier (Equipment, not the service) | 11700 Domain Blvd Ste 114, Austin, TX 78758-3438 | 2017-08-29 |
1720486640 | Eyemart Express LLC | Eyewear Supplier (Equipment, not the service) | 9300 S. Ih-35, Suite C100, Austin, TX 78748 | 2014-12-09 |
1619245958 | Visionworks, Inc. | Eyewear Supplier (Equipment, not the service) | 9600 South Ih 35 Service Rd Sb, Suite S 225, Austin, TX 78748-2501 | 2011-12-01 |
1811274350 | Visionworks, Inc. | Eyewear Supplier (Equipment, not the service) | 10515 N Mopac Expy Ste N, Ste.115, Austin, TX 78759-5468 | 2011-11-11 |
1083993943 | U S Vision Optical Inc | Eyewear Supplier (Equipment, not the service) | 12351 N Ih 35, Austin, TX 78753-1325 | 2011-08-10 |
1174847560 | New Columbian Optical Company | Eyewear Supplier (Equipment, not the service) | 5720 Burnet Rd, B, Austin, TX 78756-1113 | 2010-03-15 |
1952571457 | Opticianry Services, Ltd. | Eyewear Supplier (Equipment, not the service) | 1308 W Anderson Ln, Suite C, Austin, TX 78757-1459 | 2008-03-11 |
Find all providers in AUSTIN |
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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.