Pinecone Vision Center, Pa

LBN: Pinecone Vision Center, Pa
Pinecone Vision Center, Pa is an health care organization with primary practice located at 3274 Nottingham Rd S , St. Cloud MN 56301. The organization recently has only one registered license in Eye and Vision Services Providers / Optometrist, which is considered as the primary health care specialty. Pinecone Vision Center, Pa can be contacted via phone (320) 258-3915, or through Haux, Christina via phone (320) 258-3915.

Contact Information

Primary practice address
3274 Nottingham Rd S St. Cloud MN 56301
Phone: (320) 258-3915
Fax: (320) 258-3917
Website:
Map and Directions
Authorized official contact:
Name: Haux, Christina
Phone: (320) 258-3915

Health care specialties

SpecialtyCodeLicense #State
Eye and Vision Services Providers / Optometrist 152W00000X

Profile Details

NPI number 1295468098
LBN Legal business name Pinecone Vision Center, Pa
DBA Doing business as
Authorized official Haux, Christina
Entity Organization
Organization subpart 1 No
Enumeration date Jul 8th, 2022
Last updated Jul 8th, 2022 - about 2 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1295468098 NPPES
Minnesota MEDICAID 1790830701

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