Northwest Eye Center

LBN: Bradley W Neujahr Od Pa
Northwest Eye Center is an health care organization with primary practice located at 14 2Nd St Ne , Bagley MN 56621. The organization recently has only one registered license in Eye and Vision Services Providers / Optometrist, which is considered as the primary health care specialty. Bradley W Neujahr Od Pa can be contacted via phone (218) 694-2442, or through Neujahr, Bradley Wayne via phone (218) 694-2442.

Contact Information

Primary practice address
14 2Nd St Ne Bagley MN 56621
Fax: (218) 694-2446
Website:
Authorized official contact:
Name: Neujahr, Bradley Wayne Doctor of Optometry (OD)

Health care specialties

SpecialtyCodeLicense #State
Eye and Vision Services Providers / Optometrist 152W00000X 1892 Minnesota

Profile Details

NPI number 1558350678
LBN Legal business name Bradley W Neujahr Od Pa
DBA Doing business as Northwest Eye Center
Authorized official Neujahr, Bradley Wayne Doctor of Optometry (OD)
Entity Organization
Organization subpart 1 No
Enumeration date Oct 20th, 2005
Last updated Nov 24th, 2008 - about 16 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1558350678 NPPES
Minnesota MEDICAID 137823600
Minnesota Other 2224062
Minnesota Other 2100013
Minnesota Other 410027728
Minnesota Other 82043NE
Minnesota Other 08298
Minnesota Other 42B91NE
Minnesota Other 83340NE

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