Progressive Eye Care Associates

LBN: Progressive Eye Care Associates
Progressive Eye Care Associates is an health care organization with primary practice located at 1690 University Avenue W #140, St Paul MN 55104. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Ophthalmology, which is considered as the primary health care specialty. Progressive Eye Care Associates can be contacted via phone (651) 645-3997, or through Kent, Dianna L via phone (651) 645-3997.

Contact Information

Primary practice address
1690 University Avenue W #140 St Paul MN 55104
Phone: (651) 645-3997
Fax: (651) 641-7207
Website:
Map and Directions
Authorized official contact:
Name: Kent, Dianna L
Phone: (651) 645-3997

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Ophthalmology 207W00000X 776 Minnesota

Profile Details

NPI number 1598989089
LBN Legal business name Progressive Eye Care Associates
DBA Doing business as
Authorized official Kent, Dianna L
Entity Organization
Organization subpart 1 No
Enumeration date Apr 13th, 2007
Last updated Jun 24th, 2010 - about 15 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 1598989089 NPPES
Other 0461340002 DMERC
MEDICAID 823212100 DMERC
Other CS0820 DMERC

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