Luehmann, Vicki Sue
Luehmann, Vicki Sue is an individual health care provider with primary practice located at 223 1St St E Suite 101, Jordan MN 55352-1561. She recently has 5 registered licenses in different health care specialties including Eye and Vision Services Providers / Optometrist, Eye and Vision Services Providers / Corneal and Contact Management, Eye and Vision Services Providers / Pediatrics, Eye and Vision Services Providers / Sports Vision, Eye and Vision Services Providers / Occupational Vision. Eye and Vision Services Providers / Optometrist is her primary health care specialty. Luehmann, Vicki Sue can be contacted via phone (952) 492-2350.Contact Information
Primary practice address
223 1St St E Suite 101
Jordan MN 55352-1561
Phone: (952) 492-2350
Fax: (952) 492-6162
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Eye and Vision Services Providers / Optometrist | 152W00000X | 2848000 | Minnesota |
Eye and Vision Services Providers / Corneal and Contact Management | 152WC0802X | 2848000 | Minnesota |
Eye and Vision Services Providers / Pediatrics | 152WP0200X | 2848000 | Minnesota |
Eye and Vision Services Providers / Sports Vision | 152WS0006X | 2848000 | Minnesota |
Eye and Vision Services Providers / Occupational Vision | 152WX0102X | 2848000 | Minnesota |
Profile Details
NPI number | 1942399456 |
---|---|
LBN Legal business name | Luehmann, Vicki Sue |
Credentials | Doctor of Optometry (OD) |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Oct 12th, 2006 |
Last updated | Mar 7th, 2023 - about last year |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
State | Type | Number | Issuer |
---|---|---|---|
All States | NPI | 1942399456 | NPPES |
Minnesota | Other | 2201857 | MEDICA |
Minnesota | Other | 51M08BO | MEDICA |
Minnesota | Other | 1725622 | MEDICA |
Minnesota | Other | HP29343 | MEDICA |
Minnesota | Other | XX1901032963 | MEDICA |
Minnesota | MEDICAID | 132580900 | MEDICA |
Minnesota | Other | 142943 | MEDICA |
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