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
Phone: (507) 282-7121
Fax: (507) 285-0951
Website:
Health care specialties
Specialty | Code | License # | 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.
Identifiers
State | Type | Number | Issuer |
---|---|---|---|
All States | NPI | 1831253327 | NPPES |
Minnesota | MEDICAID | 639544900 |
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