Eagan Eye Clinic Llc

LBN: Eagan Eye Clinic Llc
Eagan Eye Clinic Llc is an health care organization with primary practice located at 206 Division St , Waite Park MN 56387-1331. The organization recently has only one registered license in Eye and Vision Services Providers / Optometrist, which is considered as the primary health care specialty. Eagan Eye Clinic Llc can be contacted via phone (320) 235-0365, or through Chudner, Benjamin S. via phone (972) 370-5552.

Contact Information

Primary practice address
206 Division St Waite Park MN 56387-1331
Fax:
Website:
Authorized official contact:
Name: Chudner, Benjamin S. Doctor of Optometry (OD)

Health care specialties

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

Profile Details

NPI number 1760089700
LBN Legal business name Eagan Eye Clinic Llc
DBA Doing business as
Authorized official Chudner, Benjamin S. Doctor of Optometry (OD)
Entity Organization
Organization subpart 1 Yes
Enumeration date Oct 2nd, 2020
Last updated Oct 2nd, 2020 - about 4 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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