PRODIGY OPTICAL, INC (NPI# 1457549800) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1457549800 |
| Entity Type | Organization |
| Organization Name | PRODIGY OPTICAL, INC |
| Practice Address |
314 Ivy Ave Se Richmond MN 56368-4509 |
| Mailing Address |
314 Ivy Ave Se Po Box 680 Richmond MN 56368-4509 |
| Practice Telephone | 3205975252 |
| Practice Fax Number | 3205975250 |
| Mailing Telephone | 3205975252 |
| Mailing Fax Number | 3205975250 |
| Enumeration Date | 2007-10-11 |
| Last Update Date | 2007-10-11 |
| Authorized Official Name | MRS. DIANE WOJTANOWICZ (OWNER) |
| Authorized Official Telephone | 3205975252 |
| 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 |
314 IVY AVE SE |
| City | RICHMOND |
| State | MN |
| Zip Code | 56368-4509 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1902862592 | Regional Health Center of Richmond, Inc. | Chiropractor | 307 Ivy Ave Se, Richmond, MN 56368 | 2006-04-24 |
| 1073581336 | Marlene Shari Heitke | Nurse Practitioner | 130 1st St., Richmond, MN 56368 | 2006-03-10 |
| 1508344391 | Ryan Mareck | Family Medicine | 130 1st St Ne, Richmond, MN 56368 | 2018-08-02 |
| 1225122328 | Charles Chown Reichert | Dentist | 34 East Main St, Richmond, MN 56368-0220 | 2006-10-03 |
| 1033403662 | Corey Douglas Norton | Chiropractor | 307 Ivy Ave Se, Richmond, MN 56368-4509 | 2011-05-31 |
| 1134261597 | Jennifer Andrea Lourey | Chiropractor | 307 Ivy Ave Se, Richmond, MN 56368-4509 | 2007-02-13 |
| 1558652909 | Cherrywood Advanced Living, LLC | Assisted Living Facility | 150 Barry Ave Nw, Richmond, MN 56368-4560 | 2011-04-20 |
| 1699733626 | Paynesville Area Hospital District | Clinic/Center | 130 1st St Ne, Richmond, MN 56368-8183 | 2006-05-01 |
| 1144653734 | Centracare Health-paynesville LLC | Clinic/Center | 130 1st St Ne, Richmond, MN 56368-8183 | 2013-08-19 |
| 1952909038 | Kaitlyn Rae Schlangen | Dietitian, Registered | 512 Main St E, Richmond, MN 56368-8230 | 2020-10-12 |
| Find all providers in zip 56368 | ||||
| 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 |
|---|---|---|---|---|
| 1699270496 | Eye Surgeons of Richmond, Inc. | Eyewear Supplier (Equipment, not the service) | 6946 Forest Ave Ste 100, Richmond, VA 23230-1701 | 2018-03-26 |
| 1033625744 | Eye Surgeons of Richmond, Inc. | Eyewear Supplier (Equipment, not the service) | 5875 Bremo Rd Ste 606, Richmond, VA 23226 | 2017-12-18 |
| 1730535717 | Visionworks Inc. | Eyewear Supplier (Equipment, not the service) | 12300 W Broad St, Richmond, VA 23233-7606 | 2016-05-10 |
| 1154729465 | Sanyals Vision Center | Eyewear Supplier (Equipment, not the service) | 7101 W Grand Pkwy S Ste 170, Richmond, TX 77407-8656 | 2014-12-18 |
| 1538309919 | Dr Mark Lynn & Associates Pllc | Eyewear Supplier (Equipment, not the service) | 2115 Lantern Ridge Dr, Ste. U500, Richmond, KY 40475-6011 | 2009-02-25 |
| 1811149255 | Custom Contact Lens | Eyewear Supplier (Equipment, not the service) | 107 Twinridge Ln, Richmond, VA 23235-5241 | 2008-10-16 |
| 1336391820 | Usv Optical Inc. | Eyewear Supplier (Equipment, not the service) | 1320 Starling Dr, Richmond, VA 23229 | 2008-10-16 |
| 1043484660 | Vasilis Makris Md, PC | Eyewear Supplier (Equipment, not the service) | 2302 Chester Blvd, Richmond, IN 47374-1221 | 2008-04-15 |
| 1740470467 | Essilor Laboratories of America, Inc | Eyewear Supplier (Equipment, not the service) | 10813 Trade Rd, Richmond, VA 23236-3036 | 2007-07-30 |
| 1255487765 | For Eyes Optical of Pa | Eyewear Supplier (Equipment, not the service) | 11591 W Broad St, Richmond, VA 23233-1186 | 2007-01-26 |
| Find all providers in RICHMOND | ||||
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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.