EYE FASHIONS OPTICAL SHOPPE INC (NPI# 1477624971) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1477624971 |
| Entity Type | Organization |
| Organization Name | EYE FASHIONS OPTICAL SHOPPE INC |
| Practice Address |
202 Nw 1st Ave Grand Rapids MN 55744 |
| Practice Telephone | 2183260358 |
| Practice Fax Number | 2183260358 |
| Mailing Telephone | 2183260358 |
| Mailing Fax Number | 2183260566 |
| Enumeration Date | 2006-11-13 |
| Last Update Date | 2008-08-29 |
| Authorized Official Name | DR. LARRY JAMES SCHLAUDERAFF (OWNER OPTOMETRIST) |
| Authorized Official Telephone | 2183260358 |
| Authorized Official Credential | OD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 152W00000X | Optometrist | 2415 | MN | Eye and Vision Services Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| HEALTHPARTNERS | HP29720 | 01 | |
| EYEMED | U33589 | 01 | |
| BLUE PLUS | 3C837EY | 01 | |
| MN | MINN CARE BLUE PLUS | 4C427EY | 01 |
| BLUE PLUS | 3C838SC | 01 | |
| BLUE PLUS | 4C427EY | 01 | |
| MN | 593932000 | 05 | |
| BLUE SHIELD | 3C838SC | 01 | |
| CBSA PPO | 974251008835 | 01 | |
| FIRSTPLANBLUE | U33589 | 01 | |
| MEDICA GR EX | 2200897 | 01 | |
| PREFERRED ONE | 974251008835 | 01 | |
| FIRSTPLAN | U33589 | 01 | |
| COPORATE BENEFIT SERV | 1008835 | 01 | |
| BLUE SHIELD | 3C837EY | 01 |
| Street Address |
202 NW 1ST AVE |
| City | GRAND RAPIDS |
| State | MN |
| Zip Code | 55744 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1477748085 | Larry James Schlauderaff | Optometrist | 202 Nw 1st Ave, Grand Rapids, MN 55744-2703 | 2007-09-07 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1710587696 | Friesen & Friesen, Inc | Assisted Living Facility | 1971 Ne 1st Avenue, Grand Rapids, MN 55744 | 2020-10-29 |
| 1699392555 | Duane Stanley Helmer | Counselor | First Call for Help of Itasca County, 1707 Nw 4th Street Suite B, Grand Rapids, MN 55744 | 2020-06-26 |
| 1821631391 | Patrice Marie Curtiss | Technician | 23792 Winckler Road, Grand Rapids, MN 55744 | 2019-10-28 |
| 1578117438 | Christina Marie Hubred | Advanced Practice Dental Therapist | Miskovich Dental Clinic, 1121 Se 4th Avenue, Grand Rapids, MN 55744 | 2019-07-30 |
| 1780081877 | Fcsl Grand Rapids, LLC | Assisted Living Facility | 949 1/2 Sw 11th Street, Grand Rapids, MN 55744 | 2014-12-04 |
| 1912311333 | Doctor V LLC | Psychologist | 2002 Cromell Drive, Hope House of Itasca County, Laprairie, MN 55744 | 2014-06-13 |
| 1104244987 | Linda Reinen-thompson | Contractor | 34307 Hwy. 38, Grand Rapids, MN 55744 | 2014-03-31 |
| 1275883266 | Lana Rae Jacobson | Registered Nurse | 1401 Nw 9th Street, Grand Rapids, MN 55744 | 2012-09-17 |
| 1518252048 | David Allen Griggs | Pharmacist | 2140 S.pokegama Ave., T-0904, Target, Grand Rapids, MN 55744 | 2011-06-13 |
| 1447575063 | Kelly Ann Shermoen | Pharmacist | 18 Se 10th Street, Grand Rapids, MN 55744 | 2010-04-07 |
| Find all providers in zip 55744 | ||||
| Taxonomy Code | 152W00000X |
| Grouping | Eye and Vision Services Providers |
| Classification | Optometrist |
| Doctors of optometry (ODs) are the primary health care professionals for the eye. Optometrists examine, diagnose, treat, and manage diseases, injuries, and disorders of the visual system, the eye, and associated structures as well as identify related systemic conditions affecting the eye. An optometrist has completed pre-professional undergraduate education in a college or university and four years of professional education at a college of optometry, leading to the doctor of optometry (O.D.) degree. Some optometrists complete an optional residency in a specific area of practice. Optometrists are eye health care professionals state-licensed to diagnose and treat diseases and disorders of the eye and visual system. |
| Notes: Source: American Optometric Association (AOA), approved by the AOA’s Board of Trustees, June 21, 2005. [7/1/2006: definition modified] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1295352987 | Ashleigh Yates | Optometrist | 3152 Peregrine Dr Ne Ste 205, Grand Rapids, MI 49525-9723 | 2020-06-29 |
| 1659997252 | Peter Silman | Optometrist | 3152 Peregrine Dr Ne # C205, Grand Rapids, MI 49525-9723 | 2020-06-19 |
| 1821613225 | Adam Hoffhines | Optometrist | 3159 28th St Se, Grand Rapids, MI 49512-7810 | 2020-06-11 |
| 1184283285 | Carrie Mitera | Optometrist | 1712 Timberlane Ln Ne, Grand Rapids, MI 49505-4442 | 2019-06-12 |
| 1366934879 | Maxwell Edward Rennaker | Optometrist | 2700 5 Mile Rd Ne Ste 102, Grand Rapids, MI 49525-6516 | 2018-05-31 |
| 1750830261 | Rx Optical Laboratories, Inc | Optometrist | 2000 E Beltline Ave Ne, Grand Rapids, MI 49525-9716 | 2016-09-26 |
| 1851759716 | Premier Family Eye Care PC. | Optometrist | 6748 Kalamzoo Ave S.e, Grand Rapids, MI 49508-7032 | 2016-02-08 |
| 1093198483 | I Care Optics LLC | Optometrist | 2425 Lake Michigan Dr Nw, Grand Rapids, MI 49504-4652 | 2015-07-02 |
| 1891103818 | Adeline Bauer | Optometrist | 1000 E Paris Ave Se Ste 130, Grand Rapids, MI 49546-3680 | 2014-07-23 |
| 1790106136 | Rx Optical Laboratories, Inc. | Optometrist | 1844 Breton Rd Se, Grand Rapids, MI 49506-4869 | 2014-01-03 |
| Find all providers in GRAND RAPIDS | ||||
| City | GRAND RAPIDS |
| Zip Code | 55744 |
Please comment or provide details below to improve the information on EYE FASHIONS OPTICAL SHOPPE 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.