Miron, Dominic A

Miron, Dominic A is an individual health care provider with primary practice located at 3632 10Th Ln Nw , Rochester MN 55901-7032. He recently has only one registered license in Eye and Vision Services Providers / Optometrist, which is considered as his primary health care specialty. Miron, Dominic A can be contacted via phone (507) 282-7121.

Contact Information

Primary practice address
3632 10Th Ln Nw Rochester MN 55901-7032
Fax: (507) 285-0951
Website:

Health care specialties

SpecialtyCodeLicense #State
Eye and Vision Services Providers / Optometrist 152W00000X 2746 Minnesota
Eye and Vision Services Providers / Optometrist 152W00000X 02338 Iowa
Eye and Vision Services Providers / Optometrist 152W00000X 2755-035 Wisconsin

Profile Details

NPI number 1831253327
LBN Legal business name Miron, Dominic A
Credentials Doctor of Optometry (OD)
Entity Individual
Sole proprietor 1 No
Enumeration date Dec 20th, 2006
Last updated Dec 22nd, 2020 - about 4 years ago

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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1831253327 NPPES
Minnesota MEDICAID 639544900

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