RANDY'S FAMILY OPTICAL, INC. (NPI# 1588738132) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1588738132 |
| Entity Type | Organization |
| Organization Name | RANDY'S FAMILY OPTICAL, INC. |
| Practice Address |
2306 S Broadway St Alexandria MN 56308-3459 |
| Practice Telephone | 3207637782 |
| Practice Fax Number | 3207630504 |
| Mailing Telephone | 3207637782 |
| Mailing Fax Number | 3207630504 |
| Enumeration Date | 2006-11-17 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | RANDY ESPING (OWNER) |
| Authorized Official Telephone | 3207637782 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 156FX1800X |
Technician/Technologist Specialization: Optician |
Eye and Vision Services Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MN | BLUEPLUS EYEWEAR | 09G43RA | 01 |
| Street Address |
2306 S BROADWAY ST |
| City | ALEXANDRIA |
| State | MN |
| Zip Code | 56308-3459 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1750791414 | Shelly Schulz-borris | Massage Therapist | 2306 S Broadway St, Suite 6 1/2, Alexandria, MN 56308-3459 | 2014-05-04 |
| 1316067028 | Thomas C Dewitt | Dentist | 2306 S Broadway St, Alexandria, MN 56308-3459 | 2007-03-29 |
| 1295855906 | David Allen Golke | Dentist | 2306 S Broadway St, Alexandria, MN 56308-3459 | 2007-03-29 |
| 1053431668 | Paul M Odland | Dentist | 2306 S Broadway St, Alexandria, MN 56308-3459 | 2007-03-29 |
| 1669525317 | Dentistry At The Center | Dentist | 2306 S Broadway St, Suite 4, Alexandria, MN 56308-3459 | 2007-01-18 |
| 1083775084 | Todd Donovan Olson | Optometrist | 2306 S Broadway St, Alexandria, MN 56308-3459 | 2006-12-13 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1871104836 | Center for Pain Management Ambulatory Surgery, Ltd | Pain Medicine | 804 23rd Street South, Sartell, MN 56308 | 2020-08-13 |
| 1548815590 | Ritajo Ellenberger | Licensed Practical Nurse | 220 Oak Street North, Alexandria, MN 56308 | 2019-08-06 |
| 1346808714 | Vance Thompson Vision Surgery Center Alexandria, Prof LLC | Clinic/Center | 2600 Jefferson St, Alexandria, MN 56308 | 2019-05-31 |
| 1811452048 | Little Falls Eye Care Center Pa | Optometrist | 2306 S. Broadway Str. Suite 12, Alexandria, MN 56308 | 2019-02-01 |
| 1184167199 | Jennifer Lynn Craig | Technician | 2307 East Golf Course Rd, Alexandria, MN 56308 | 2016-11-22 |
| 1548712219 | Shelby Elisha Johnsrud | Chiropractor | 303 West 22nd Ave, Ste 100, Alexandria, MN 56308 | 2016-10-28 |
| 1811347867 | Dustin Matthew Ditch | Dentist | 510 22nd Ave E Ste 702, Alexandria, MN 56308 | 2016-06-20 |
| 1639538051 | West Central Chiropractic & Wellness, LLC | Chiropractor | 123 3rd Ave. E, Suite 100, Alexandria, MN 56308 | 2016-02-12 |
| 1659736221 | Amanda Jean Dahlseng | Registered Nurse | 809 Elm Street, Suite 1200, Alexandria, MN 56308 | 2015-12-23 |
| 1518358886 | Benjamin G Wenzel | Marriage & Family Therapist | 512 30th Ave S, Ste 100, Alexandria, MN 56308 | 2015-02-09 |
| Find all providers in zip 56308 | ||||
| Taxonomy Code | 156FX1800X |
| Grouping | Eye and Vision Services Providers |
| Classification | Technician/Technologist |
| Specialization | Optician |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1205078813 | Advanced Eye Care, Inc. | Technician/Technologist | 7013d Manchester Blvd, Alexandria, VA 22310-3201 | 2009-03-27 |
| 1306981956 | David John Schneiderhan | Technician/Technologist | 610 30th Ave W Ste 200, Alexandria, MN 56308-3426 | 2007-02-21 |
| 1275695637 | Osman Y. Sheikh | Technician/Technologist | 6399 Little River Tpke Ste 203, Alexandria, VA 22312-5093 | 2006-12-14 |
| 1396136727 | Meron Taressa | Technician/Technologist | 50 S Pickett St, Suite #29, Alexandria, VA 22304-7207 | 2015-02-06 |
| 1548603780 | Robert Lynn Hanson Jr. | Technician/Technologist | 1915 Gus Kaplan Dr, Alexandria, LA 71301-3355 | 2013-04-08 |
| 1861634040 | Advanced Eye Care Inc | Technician/Technologist | 8101 Hinson Farm Rd, Suite 103, Alexandria, VA 22306-3403 | 2009-04-02 |
| 1053588756 | Daryl Scott Bauer | Technician/Technologist | 4680 King St, Alexandria, VA 22302-1215 | 2008-05-12 |
| 1851568562 | Ronald S Bauer | Technician/Technologist | 4680 King St, Alexandria, VA 22302-1215 | 2008-05-12 |
| 1033268347 | Niyadell, Inc | Technician/Technologist | 4660 Kenmore Ave, Suite 101, Alexandria, VA 22304-1306 | 2007-01-09 |
| 1679645212 | Midwest Vision Centers Inc | Technician/Technologist | 3015 Highway 29 S, Alexandria, MN 56308-3486 | 2006-11-15 |
| Find all providers in ALEXANDRIA | ||||
| City | ALEXANDRIA |
| Zip Code | 56308 |
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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.