Carlson Tillisch Eye Clinic, Ltd

LBN: Carlson Tillisch Eye Clinic, Ltd
Carlson Tillisch Eye Clinic, Ltd is an health care organization with primary practice located at 120 N Broad St , Mankato MN 56001-3518. The organization recently has only one registered license in Eye and Vision Services Providers / Optometrist, which is considered as the primary health care specialty. Carlson Tillisch Eye Clinic, Ltd can be contacted via phone (507) 345-5087, or through Lach, George John via phone (507) 345-5087.

Contact Information

Primary practice address
120 N Broad St Mankato MN 56001-3518
Phone: (507) 345-5087
Fax: (507) 345-1151
Website:
Map and Directions
Authorized official contact:
Name: Lach, George John Doctor of Optometry (OD)
Phone: (507) 345-5087

Health care specialties

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

Profile Details

NPI number 1225116932
LBN Legal business name Carlson Tillisch Eye Clinic, Ltd
DBA Doing business as
Authorized official Lach, George John Doctor of Optometry (OD)
Entity Organization
Organization subpart 1 No
Enumeration date Nov 1st, 2006
Last updated Sep 1st, 2022 - about 3 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 1225116932 NPPES
Minnesota Other 960103100 MEDICAL ASSISTANCE
Minnesota Other 41663TI MEDICAL ASSISTANCE

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