Blakstad, Alyson L

Blakstad, Alyson L is an individual health care provider with primary practice located at 10709 Wayzata Blvd Ste 200 , Minnetonka MN 55305-5509. She recently has only one registered license in Eye and Vision Services Providers / Corneal and Contact Management, which is considered as her primary health care specialty. Blakstad, Alyson L can be contacted via phone (952) 888-5800.

Contact Information

Primary practice address
10709 Wayzata Blvd Ste 200 Minnetonka MN 55305-5509
Phone: (952) 888-5800
Fax: (952) 567-6156
Website:
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Health care specialties

SpecialtyCodeLicense #State
Eye and Vision Services Providers / Corneal and Contact Management 152WC0802X 2673 Minnesota

Profile Details

NPI number 1427043660
LBN Legal business name Blakstad, Alyson L
Credentials Doctor of Optometry (OD)
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 14th, 2005
Last updated Sep 15th, 2020 - about 6 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1427043660 NPPES
Minnesota Other 410045931 MEDICARE RAILROAD
Minnesota MEDICAID 293663100 MEDICARE RAILROAD

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