Northwest Eye Center Pa
LBN: Northwest Eye Center Pa
Northwest Eye Center Pa is an health care organization with primary practice located at 1720 Hy 59 Se Suite 1, Thief River Falls MN 56701. The organization recently has only one registered license in Eye and Vision Services Providers / Optometrist, which is considered as the primary health care specialty.
Northwest Eye Center Pa can be contacted via phone (218) 681-3300, or through Borgen, Christopher J via phone (218) 681-3300.
Contact Information
Primary practice address
1720 Hy 59 Se Suite 1
Thief River Falls MN 56701
Phone: (218) 681-3300
Fax: (218) 681-6733
Website:
Authorized official contact:
Name: Borgen, Christopher J Doctor of Optometry (OD)
Phone: (218) 681-3300
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Eye and Vision Services Providers / Optometrist | 152W00000X | 2803 | Minnesota |
| Eye and Vision Services Providers / Optometrist | 152W00000X | 2833 | Minnesota |
Profile Details
| NPI number | 1831156645 |
|---|---|
| LBN Legal business name | Northwest Eye Center Pa |
| DBA Doing business as | |
| Authorized official | Borgen, Christopher J Doctor of Optometry (OD) |
| Entity | Organization |
| Organization subpart 1 | Yes |
| Enumeration date | Apr 26th, 2006 |
| Last updated | Sep 11th, 2008 - about 17 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 | 1831156645 | NPPES |
| Minnesota | Other | 644201041982 | PREF |
| Minnesota | MEDICAID | 928102900 | PREF |
| Minnesota | Other | 644201030SS1 | PREF |
| Minnesota | Other | 46G79B0 | PREF |
| Minnesota | MEDICAID | 736145900 | PREF |
| Minnesota | Other | 289M4TJ | PREF |
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