Minneapolis Medical Eye Clinic, P.A.

LBN: Minneapolis Medical Eye Clinic, P.A.
Minneapolis Medical Eye Clinic, P.A. is an health care organization with primary practice located at 710 E 24Th St Suite 402, Minneapolis MN 55404-3840. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Ophthalmology, which is considered as the primary health care specialty. Minneapolis Medical Eye Clinic, P.A. can be contacted via phone (612) 871-3611, or through Fountain, Brian Charles via phone (612) 871-3611.

Contact Information

Primary practice address
710 E 24Th St Suite 402 Minneapolis MN 55404-3840
Phone: (612) 871-3611
Fax: (612) 871-7294
Website:
Map and Directions
Authorized official contact:
Name: Fountain, Brian Charles
Phone: (612) 871-3611

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Ophthalmology 207W00000X

Profile Details

NPI number 1750498465
LBN Legal business name Minneapolis Medical Eye Clinic, P.A.
DBA Doing business as
Authorized official Fountain, Brian Charles
Entity Organization
Organization subpart 1 No
Enumeration date Aug 25th, 2006
Last updated Aug 20th, 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 1750498465 NPPES
Minnesota MEDICAID 008808100

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