Minnesota Eye Consultants, Pa

LBN: Minnesota Eye Consultants, Pa
Minnesota Eye Consultants, Pa is an health care organization with primary practice located at 9801 Dupont Ave South Suite 200, Bloomington MN 55431-3180. The organization recently has only one registered license in Suppliers / Eyewear Supplier (Equipment, not the service), which is considered as the primary health care specialty. Minnesota Eye Consultants, Pa can be contacted via phone (952) 888-5800, or through Wilde, Brent Lee via phone (952) 567-6043.

Contact Information

Primary practice address
9801 Dupont Ave South Suite 200 Bloomington MN 55431-3180
Phone: (952) 888-5800
Fax: (952) 567-6156
Website:
Map and Directions
Authorized official contact:
Name: Wilde, Brent Lee
Phone: (952) 567-6043

Health care specialties

SpecialtyCodeLicense #State
Suppliers / Eyewear Supplier (Equipment, not the service) 332H00000X 1751 Minnesota

Profile Details

NPI number 1326019829
LBN Legal business name Minnesota Eye Consultants, Pa
DBA Doing business as
Authorized official Wilde, Brent Lee
Entity Organization
Organization subpart 1 No
Enumeration date Feb 1st, 2006
Last updated Apr 24th, 2017 - about 8 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 1326019829 NPPES
Minnesota MEDICAID 334216601
Minnesota Other 59Q32MI

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