Azure Vision Care
LBN: Minnesota Eyecare Network, Inc
Azure Vision Care is an health care organization with primary practice located at 20 S Broadway , Pelican Rapids MN 56572-0474. The organization recently has only one registered license in Eye and Vision Services Providers / Optometrist, which is considered as the primary health care specialty.
Minnesota Eyecare Network, Inc can be contacted via phone (218) 863-7061, or through Neitzke, Timothy C via phone (218) 346-3310.
Contact Information
Primary practice address
20 S Broadway
Pelican Rapids MN 56572-0474
Phone: (218) 863-7061
Fax: (218) 863-7062
Website:
Authorized official contact:
Name: Neitzke, Timothy C Doctor of Optometry (OD)
Phone: (218) 346-3310
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Eye and Vision Services Providers / Optometrist | 152W00000X |
Profile Details
NPI number | 1457465296 |
---|---|
LBN Legal business name | Minnesota Eyecare Network, Inc |
DBA Doing business as | Azure Vision Care |
Authorized official | Neitzke, Timothy C Doctor of Optometry (OD) |
Entity | Organization |
Organization subpart 1 | No |
Enumeration date | Aug 18th, 2006 |
Last updated | Jun 5th, 2015 - about 10 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 | 1457465296 | NPPES |
Minnesota | MEDICAID | 389558100 | |
Minnesota | MEDICAID | 541525000 |
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