20-20 OPTICAL INC (NPI# 1619972734) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1619972734 |
| Entity Type | Organization |
| Organization Name | 20-20 OPTICAL INC |
| Practice Address |
615 S Mill St Ste 2 Fergus Falls MN 56537-2756 |
| Practice Telephone | 2189982020 |
| Practice Fax Number | 2189982098 |
| Mailing Telephone | 2189982020 |
| Mailing Fax Number | 2189982098 |
| Enumeration Date | 2005-06-15 |
| Last Update Date | 2009-07-13 |
| Authorized Official Name | MR. DAVID G. GAUSTAD (OWNER/MANAGER) |
| Authorized Official Telephone | 2189982020 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 156FX1800X |
Technician/Technologist Specialization: Optician |
MN | Eye and Vision Services Providers | |
| Y | 332H00000X | Eyewear Supplier (Equipment, not the service) | Suppliers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| ND | 55387 | 05 | |
| MN | BLUE CROSS BLUE SHIELD MN | 4C789TW | 01 |
| MN | 031024003 | 05 | |
| PREFERRED ONE | 1046788 | 01 | |
| TX | 21-00143 | 05 | |
| MN | 985222100 | 05 | |
| ND | ND VISION SERVICES | 892886 | 01 |
| AZ | AVESIS | VMN000233 | 01 |
| Street Address |
615 S MILL ST STE 2 |
| City | FERGUS FALLS |
| State | MN |
| Zip Code | 56537-2756 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1801221676 | Dan Kwapinski | Pharmacist | 615 S Mill St, Fergus Falls, MN 56537-2756 | 2013-09-11 |
| 1831401058 | Naomi Destaffany Schmid | Podiatrist | 615 S Mill St, Fergus Falls, MN 56537-2756 | 2010-07-02 |
| 1437487105 | Lorri Holt | Technician/Technologist | 615 S Mill St, Suite 2, Fergus Falls, MN 56537-2756 | 2009-11-18 |
| 1922336601 | Amy Donoho | Technician/Technologist | 615 S Mill St, Suite 2, Fergus Falls, MN 56537-2756 | 2009-11-18 |
| 1720316409 | David G Gaustad | Technician/Technologist | 615 S Mill St, Suite 2, Fergus Falls, MN 56537-2756 | 2009-11-18 |
| 1083942775 | Barbara L Johnson | Technician/Technologist | 615 S Mill St, Suite 2, Fergus Falls, MN 56537-2756 | 2009-11-18 |
| 1033447719 | Sheila Rodning | Technician/Technologist | 615 S Mill St, Suite 2, Fergus Falls, MN 56537-2756 | 2009-11-18 |
| 1962730648 | Kathryn Polejewski | Technician/Technologist | 615 S Mill St, Suite 2, Fergus Falls, MN 56537-2756 | 2009-11-18 |
| 1982932646 | Randa Jean Wik | Technician/Technologist | 615 S Mill St, Suite 2, Fergus Falls, MN 56537-2756 | 2009-11-18 |
| 1174622294 | Jacqueline C. Ona | Internal Medicine | 615 S Mill St, Fergus Falls, MN 56537-2756 | 2006-09-22 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1295334217 | Mary Jane Andersen | Pharmacist | 3300 Hwy 210 W, Fergus Falls, MN 56537 | 2020-10-21 |
| 1609475615 | Blaine Perry Ecker | Pharmacist | 3300 Highway 210 W., 3300 Highway 210 West, Fergus Falls, MN 56537 | 2020-10-21 |
| 1336771591 | Paul George Wawin | Psychiatry & Neurology | 712 Cascade St. S. Lake Region Healthcare, Fergus Falls, MN 56537 | 2020-02-06 |
| 1134604127 | Christopher Michael Kjolhaug | Physical Therapist | 1131 South Mabelle Ave, Fergus Falls, MN 56537 | 2018-09-26 |
| 1619406808 | Aaron John Teigen | Physical Therapist | 1304 Lincoln Ave W, Suite C, Fergus Falls, MN 56537 | 2017-06-09 |
| 1003272154 | Anthony Gettel Dc LLC | Chiropractor | 755 Wildwood Trail, Fergus Falls, MN 56537 | 2016-01-05 |
| 1447628912 | Kelsey Shea | Student in an Organized Health Care Education/Training Program | 20743 Red Oak Dr., Fergus Falls, MN 56537 | 2015-09-14 |
| 1881070217 | Vineet Ganapati | Dentist | 2001 W Lincoln Ave # 33, Fergus Falls, MN 56537 | 2015-08-07 |
| 1497004832 | Beverly Renae Reiff | Registered Nurse | 22279 River Oaks Drive, Fergus Falls, MN 56537 | 2012-08-30 |
| 1114221421 | Jane Mary Bjornson | Social Worker | 21081 County Hwy 1, Fergus Falls, MN 56537 | 2010-12-29 |
| Find all providers in zip 56537 | ||||
| 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 |
|---|---|---|---|---|
| 1982789533 | Vision World Inc | Eyewear Supplier (Equipment, not the service) | 200 Westridge Mall, Fergus Falls, MN 56537 | 2006-10-25 |
| 1922471804 | Lake Region Healthcare Corporation | Eyewear Supplier (Equipment, not the service) | 111 W Vernon Ave, Fergus Falls, MN 56537-2741 | 2015-11-02 |
| 1598042376 | Visionworks, Inc. | Eyewear Supplier (Equipment, not the service) | 2001 W Lincoln Ave, Suite 52, Fergus Falls, MN 56537-1010 | 2011-11-08 |
| 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 | FERGUS FALLS |
| Zip Code | 56537 |
Please comment or provide details below to improve the information on 20-20 OPTICAL 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.