Dba: Origins Eye Clinic

LBN: Cedar Lakes Eye Specialists Pa
Dba: Origins Eye Clinic is an health care organization with primary practice located at 5801 W 16Th St , St Louis Park MN 55416-1446. The organization recently has only one registered license in Eye and Vision Services Providers / Optometrist, which is considered as the primary health care specialty. Cedar Lakes Eye Specialists Pa can be contacted via phone (763) 582-9601, or through Bane, David via phone (763) 582-9601.

Contact Information

Primary practice address
5801 W 16Th St St Louis Park MN 55416-1446
Phone: (763) 582-9601
Fax: (763) 582-9613
Website:
Map and Directions
Authorized official contact:
Name: Bane, David Doctor of Optometry (OD)
Phone: (763) 582-9601

Health care specialties

SpecialtyCodeLicense #State
Eye and Vision Services Providers / Optometrist 152W00000X 3009 Minnesota

Profile Details

NPI number 1730472523
LBN Legal business name Cedar Lakes Eye Specialists Pa
DBA Doing business as Dba: Origins Eye Clinic
Authorized official Bane, David Doctor of Optometry (OD)
Entity Organization
Organization subpart 1 No
Enumeration date May 26th, 2011
Last updated Apr 30th, 2018 - about 7 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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