Eye Fashions Optical Shoppe Inc · Optometrist

202 Nw 1st Ave, Grand Rapids, MN 55744

Overview

Eye Fashions Optical Shoppe Inc is a Optometrist (organization) practicing in Grand Rapids, Minnesota. The National Provider Identifier (NPI) is #1477624971, which was assigned on November 13, 2006, and the registration record was last updated on November 25, 2024. The practitioner's main practice location is at 202 Nw 1st Ave, Grand Rapids, MN 55744; the contact telephone number is 2183260358, and the fax number is 2189990067. The primary taxonomy of Eye Fashions Optical Shoppe Inc is Optometrist (152W00000X). The authorized official for Eye Fashions Optical Shoppe Inc is Dr. Larry James Schlauderaff (Owner Optometrist). Eye Fashions Optical Shoppe Inc is licensed to practice in the state of Minnesota (#2415).

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.

Provider Information

NPI 1477624971
Entity Type Organization
Organization Name EYE FASHIONS OPTICAL SHOPPE INC
Provider Name EYE FASHIONS OPTICAL SHOPPE INC
Practice Address 202 Nw 1st Ave
Grand Rapids
MN 55744
Practice Telephone 2183260358
Practice Fax Number 2189990067
Mailing Address 202 Nw 1st Ave
Grand Rapids
MN 55744
Mailing Telephone 2183260358
Mailing Fax Number 2183260566
Certification Date 2024-11-25
Enumeration Date 2006-11-13
Last Update Date 2024-11-25
Is Organization Subpart N

Authorized Official Information

Official Name DR. LARRY JAMES SCHLAUDERAFF
Official Title OWNER OPTOMETRIST
Credential OD
Telephone 2183260358

Taxonomy and Licenses

PrimaryCodeClassificationSpecializationTaxonomy GroupLicense NumberLicense State
Y152W00000XOptometrist193400000X SINGLE SPECIALTY GROUP2415MN

Other Provider Identifiers

Other IdentifierIssuing StateIssuerIdentifier Type
U33589FIRSTPLANOther
1008835COPORATE BENEFIT SERVOther
U33589FIRSTPLANBLUEOther
2200897MEDICA GR EXOther
3C837EYBLUE SHIELDOther
HP29720HEALTHPARTNERSOther
3C837EYBLUE PLUSOther
3C838SCBLUE PLUSOther
4C427EYBLUE PLUSOther
974251008835CBSA PPOOther
3C838SCBLUE SHIELDOther
4C427EYMNMINN CARE BLUE PLUSOther
593932000MNMEDICAID
974251008835PREFERRED ONEOther
U33589EYEMEDOther

Taxonomy Information

Primary Taxonomy

Code 152W00000X
Taxonomy Optometrist
Classification Optometrist
Grouping Eye and Vision Services Providers
Definition: 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]

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Location Information

Street Address 202 NW 1ST AVE
City GRAND RAPIDS
State MN
Zip Code 55744
Country US

Providers in the same zip code

Provider NameAddressTaxonomyEnumeration Date
Essentia Health Surgery Centers-Minnesota LLC 1542 Golf Course Rd Ste 105, Grand Rapids, MN 55744-3553Ambulatory Surgical Clinic/Center2024-11-12
Anna M Rajala 801 Ne 4th St, Grand Rapids, MN 55744-3106Professional Counselor2025-02-24
Ellen S Teigland 25 Ne 3rd St, Grand Rapids, MN 55744-2742Psychologist2006-07-03
Crystal Cecile Vilen 413 Se 13th St, Grand Rapids, MN 55744-0015Clinical Social Worker2025-05-08
Daniel L Baker 111 Golf Course Rd, Ste 1, Grand Rapids, MN 55744-3526Orthopaedic Surgery Physician2006-01-24
Stapleton Psychological Services 423 Ne 4th St Ste 2, Grand Rapids, MN 55744-2968Psychologist2015-05-20
Jeffrey N Bolz 512 Ne 1st Ave, Grand Rapids, MN 55744-2610Dentist2006-12-17
Clearwater Mental Health & Wellness, LLC 204 Nw 1st Ave Ste 4, Grand Rapids, MN 55744-2749Medical Specialty Clinic/Center2025-09-19
Kimberly Joan Geislinger 180 Ne 6th St, Grand Rapids, MN 55744-2873Addiction (Substance Use Disorder) Counselor2025-05-27
Abby Sperr 1542 Golf Course Rd Ste 201, Grand Rapids, MN 55744-3537Optometrist2023-06-19
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Dataset Information

This dataset includes over five million health care providers who are assigned National Provider Identifier (NPI) in the National Plan and Provider Enumeration System (NPPES), developed by the Centers for Medicare & Medicaid Services (CMS). Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under Health Insurance Portability and Accountability Act (HIPAA). Each provider is registered with the NPI, full name, status, address, taxonomy, other identifiers, etc.

Subject Transparency and Disclosure
Jurisdiction Federal
Data Provider National Plan and Provider Enumeration System (NPPES), by the Centers for Medicare & Medicaid Services (CMS)
Source download.cms.gov

Dataset Details

The National Provider Identifier (NPI) is a Health Insurance Portability and Accountability Act (HIPAA) Administrative Simplification Standard. The NPI is a unique identification number for covered health care providers and all health plans and health care clearinghouses, who must use the NPIs in the administrative and financial transactions adopted under HIPAA. The NPI is a 10-position, intelligence-free numeric identifier (10-digit number).

All health care providers who are HIPAA-covered entities, whether individuals or organizations, must get an NPI. A HIPAA-covered entity is a health care provider that conducts certain transactions in electronic form, or a health care clearinghouse, or a health plan (including commercial plans, Medicare, and Medicaid).

Centers for Medicare & Medicaid Services (CMS) has developed the National Plan and Provider Enumeration System (NPPES) to assign unique identifiers to health care providers. The National Provider Indentifier (NPI) has been the standard identifier for all HIPAA-covered entities (health care providers) since May 23, 2007. Small health plans were required to obtain and use an NPI by May 23, 2008.

This dataset includes over five million health care providers (individuals and organizations) who are assigned NPI. The provider data elements are disclosed to the public by the Centers for Medicare & Medicaid Services (CMS) under the Freedom of Information Act (FOIA), as listed in the NPPES Data Dissemination Notice (CMS-6060-N). The NPI final rules define the following elements which required to be disclosed as determined by Department of Health & Human Services (HHS): NPI, Entity Type, Provider Name, Credential, Business Mailing Address, Business Location Address, Healthcare Provider Taxonomy Code, Other Provider Identifier, Provider Enumeration Date, NPI Deactivation Date, Provider License Number, Authorized Official Name and Contact Information.