Is this information incorrect? This page shows public data from NPPES. Update your record in NPPES and this page will update automatically within 7 days.
Organization
NICOLLET VISION CARE OPTOMETRISTS P.A.
Active
Organization
NICOLLET VISION CARE OPTOMETRISTS P.A.
Active
Other names
The Glasses Menagerie
Organization subpart
No
Provider details
NPI number
Authorized official
DR. LINDA MARIE CHOUS O.D. (OWNER)
(612) 822-7021
Entity
Organization
Contact information
Practice address
3142 HENNEPIN AVE S, MINNEAPOLIS, MN 55408-2619
(612) 822-7021
(612) 822-6123
Mailing address
3142 HENNEPIN AVE S, MINNEAPOLIS, MN 55408-2619
(612) 822-7021
(612) 822-6123
Taxonomy
Speciality
Code
Description
License number
State
152WP0200X
Pediatric Optometrist
Primary
2219
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
102328
U CARE
MN
01
—
22-19849
MEDICA
—
01
—
45845
MHP
—
01
—
4C348GL
BLUE PLUS
—
05
—
610225500
—
MN
01
—
64637CH
BLUE CROSS
—
Enumeration date
11/11/2008
Last updated
11/11/2008
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Sign upProduct
Developers