Pelican River Optical

LBN: Bruce D Nelson
Pelican River Optical is an health care organization with primary practice located at 1131 Jackson Ave , Detroit Lakes MN 56501-3618. The organization recently has only one registered license in Suppliers / Eyewear Supplier (Equipment, not the service), which is considered as the primary health care specialty. Bruce D Nelson can be contacted via phone (218) 847-5663, or through Nelson, Bruce Donald via phone (218) 847-5663.

Contact Information

Primary practice address
1131 Jackson Ave Detroit Lakes MN 56501-3618
Phone: (218) 847-5663
Fax: (218) 847-0964
Website:
Map and Directions
Authorized official contact:
Name: Nelson, Bruce Donald
Phone: (218) 847-5663

Health care specialties

SpecialtyCodeLicense #State
Suppliers / Eyewear Supplier (Equipment, not the service) 332H00000X

Profile Details

NPI number 1891965562
LBN Legal business name Bruce D Nelson
DBA Doing business as Pelican River Optical
Authorized official Nelson, Bruce Donald
Entity Organization
Organization subpart 1 No
Enumeration date Mar 9th, 2008
Last updated Jul 16th, 2008 - about 17 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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