St. Cloud Vision Clinic, Inc.

LBN: Falls Optical, Inc.
St. Cloud Vision Clinic, Inc. is an health care organization with primary practice located at 1850 1St Ave Ne , Little Falls MN 56345-3381. The organization recently has only one registered license in Eye and Vision Services Providers / Optometrist, which is considered as the primary health care specialty. Falls Optical, Inc. can be contacted via phone (320) 632-2391, or through Dodge, Ken D via phone (320) 224-5936.

Contact Information

Primary practice address
1850 1St Ave Ne Little Falls MN 56345-3381
Fax: (320) 632-2392
Website:
Authorized official contact:
Name: Dodge, Ken D Doctor of Optometry (OD)

Health care specialties

SpecialtyCodeLicense #State
Eye and Vision Services Providers / Optometrist 152W00000X 2809 Minnesota

Profile Details

NPI number 1356563803
LBN Legal business name Falls Optical, Inc.
DBA Doing business as St. Cloud Vision Clinic, Inc.
Authorized official Dodge, Ken D Doctor of Optometry (OD)
Entity Organization
Organization subpart 1 No
Enumeration date May 3rd, 2007
Last updated Apr 28th, 2022 - about 2 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 1356563803 NPPES
Minnesota Other 173486 UNICARE
Minnesota Other 41-0049674 UNICARE
Minnesota Other 257J6CL UNICARE
Minnesota Other 2203387 UNICARE
Minnesota MEDICAID 520042300 UNICARE

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