Minnesota Eye Consultants, Pa
LBN: Minnesota Eye Consultants, Pa
Minnesota Eye Consultants, Pa is an health care organization with primary practice located at 1965 11Th Ave E Suite 102, Maplewood MN 55109-5167. The organization recently has 4 registered licenses in different health care specialties including Eye and Vision Services Providers / Corneal and Contact Management, Allopathic & Osteopathic Physicians / Ophthalmology, Laboratories / Clinical Medical Laboratory, Suppliers / Eyewear Supplier (Equipment, not the service). Allopathic & Osteopathic Physicians / Ophthalmology is the primary health care specialty.
Minnesota Eye Consultants, Pa can be contacted via phone (952) 888-5800, or through Wilde, Brent L via phone (952) 888-5800.
Contact Information
Primary practice address
1965 11Th Ave E Suite 102
Maplewood MN 55109-5167
Phone: (952) 888-5800
Fax: (651) 748-4445
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Eye and Vision Services Providers / Corneal and Contact Management | 152WC0802X | ||
| Allopathic & Osteopathic Physicians / Ophthalmology | 207W00000X | ||
| Laboratories / Clinical Medical Laboratory | 291U00000X | 24D2023181 | Minnesota |
| Suppliers / Eyewear Supplier (Equipment, not the service) | 332H00000X |
Profile Details
| NPI number | 1861465064 |
|---|---|
| LBN Legal business name | Minnesota Eye Consultants, Pa |
| DBA Doing business as | |
| Authorized official | Wilde, Brent L |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | Feb 8th, 2006 |
| Last updated | Feb 22nd, 2017 - about 7 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1861465064 | NPPES |
| Minnesota | Other | 24D2023181 | CLIA |
| Minnesota | MEDICAID | 680090400 | CLIA |
| Minnesota | Other | CG8516 | CLIA |
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