Healthcare Provider Details

I. General information

NPI: 1689368417
Provider Name (Legal Business Name): OZBEK EYE SERVICES LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/05/2023
Last Update Date: 06/16/2026
Certification Date: 06/16/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1500 MCANDREWS RD W STE 105
BURNSVILLE MN
55337-4438
US

IV. Provider business mailing address

1500 MCANDREWS RD W STE 105
BURNSVILLE MN
55337-4438
US

V. Phone/Fax

Practice location:
  • Phone: 612-200-2678
  • Fax: 612-445-7685
Mailing address:
  • Phone: 612-200-2678
  • Fax: 612-445-7685

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code152WP0200X
TaxonomyPediatric Optometrist
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code152WC0802X
TaxonomyCorneal and Contact Management Optometrist
License Number
License Number State
# 3
Primary TaxonomyN
Taxonomy Code152WX0102X
TaxonomyOccupational Vision Optometrist
License Number
License Number State
# 4
Primary TaxonomyY
Taxonomy Code152W00000X
TaxonomyOptometrist
License Number
License Number State

VIII. Authorized Official

Name: MATHEUS M OZBEK
Title or Position: OWNER/OPTOMETRIST
Credential: OD
Phone: 612-200-2678