Butler, Fred A

Butler, Fred A is an individual health care provider with primary practice located at 3630 11Th Ave Nw , Rochester MN 55901-4276. He recently has only one registered license in Eye and Vision Services Providers / Optometrist, which is considered as his primary health care specialty. Butler, Fred A can be contacted via phone (507) 288-2457.

Contact Information

Primary practice address
3630 11Th Ave Nw Rochester MN 55901-4276
Phone: (507) 288-2457
Fax: (507) 288-1299
Website:
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Health care specialties

SpecialtyCodeLicense #State
Eye and Vision Services Providers / Optometrist 152W00000X 1676 Minnesota

Profile Details

NPI number 1356325476
LBN Legal business name Butler, Fred A
Credentials Doctor of Optometry (OD)
Entity Individual
Sole proprietor 1 No
Enumeration date Dec 1st, 2005
Last updated May 28th, 2009 - about 15 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 1356325476 NPPES
Minnesota Other 4C933BU BLUE CROSS SHIELD
Minnesota MEDICAID 094523400 BLUE CROSS SHIELD
Minnesota Other 2201135 BLUE CROSS SHIELD
Minnesota Other HP44091 BLUE CROSS SHIELD
Minnesota Other 01017732 BLUE CROSS SHIELD

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