Lakes Vision, Pc

LBN: Lakes Vision, Pc
Lakes Vision, Pc is an health care organization with primary practice located at 1583 Highway 10 W , Detroit Lakes MN 56501-2232. The organization recently has only one registered license in Eye and Vision Services Providers / Optometrist, which is considered as the primary health care specialty. Lakes Vision, Pc can be contacted via phone (218) 847-7245, or through Bratvold, Craig Allen via phone (218) 849-4295.

Contact Information

Primary practice address
1583 Highway 10 W Detroit Lakes MN 56501-2232
Phone: (218) 847-7245
Fax: (218) 847-8453
Website:
Map and Directions
Authorized official contact:
Name: Bratvold, Craig Allen Doctor of Optometry (OD)
Phone: (218) 849-4295

Health care specialties

SpecialtyCodeLicense #State
Eye and Vision Services Providers / Optometrist 152W00000X 2434 Minnesota

Profile Details

NPI number 1871825364
LBN Legal business name Lakes Vision, Pc
DBA Doing business as
Authorized official Bratvold, Craig Allen Doctor of Optometry (OD)
Entity Organization
Organization subpart 1 No
Enumeration date Feb 8th, 2010
Last updated Feb 8th, 2010 - about 15 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 1871825364 NPPES
Minnesota Other 410003242 MEDICARE PTAN

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