Granite Family Eyecare

LBN: Granite Falls Eyecare Inc.
Granite Family Eyecare is an health care organization with primary practice located at 870 Prentice St , Granite Falls MN 56241-1521. The organization recently has only one registered license in Eye and Vision Services Providers / Optometrist, which is considered as the primary health care specialty. Granite Falls Eyecare Inc. can be contacted via phone (320) 564-4997, or through Trudel, Todd Edward via phone (320) 564-4997.

Contact Information

Primary practice address
870 Prentice St Granite Falls MN 56241-1521
Phone: (320) 564-4997
Fax: (320) 564-2020
Website:
Map and Directions
Authorized official contact:
Name: Trudel, Todd Edward Doctor of Optometry (OD)
Phone: (320) 564-4997

Health care specialties

SpecialtyCodeLicense #State
Eye and Vision Services Providers / Optometrist 152W00000X 2337 Minnesota

Profile Details

NPI number 1851445464
LBN Legal business name Granite Falls Eyecare Inc.
DBA Doing business as Granite Family Eyecare
Authorized official Trudel, Todd Edward Doctor of Optometry (OD)
Entity Organization
Organization subpart 1 No
Enumeration date Jan 22nd, 2007
Last updated Apr 8th, 2008 - about 17 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 1851445464 NPPES
Minnesota MEDICAID 645512300

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