St Cloud Eye Clinic Pa

LBN: St Cloud Eye Clinic Pa
St Cloud Eye Clinic Pa is an health care organization with primary practice located at 2055 15Th St N , Saint Cloud MN 56303-1747. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Ophthalmology, which is considered as the primary health care specialty. St Cloud Eye Clinic Pa can be contacted via phone (320) 251-1432, or through Starkey, Deforest Everton via phone (320) 251-1432.

Contact Information

Primary practice address
2055 15Th St N Saint Cloud MN 56303-1747
Phone: (320) 251-1432
Fax: (320) 251-7122
Website:
Map and Directions
Authorized official contact:
Name: Starkey, Deforest Everton
Phone: (320) 251-1432

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Ophthalmology 207W00000X

Profile Details

NPI number 1538157805
LBN Legal business name St Cloud Eye Clinic Pa
DBA Doing business as
Authorized official Starkey, Deforest Everton
Entity Organization
Organization subpart 1 No
Enumeration date Oct 11th, 2005
Last updated Jan 28th, 2013 - about 11 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 1538157805 NPPES
Minnesota Other 54575LA BLUE CROSS
Minnesota Other C01527 BLUE CROSS
Minnesota MEDICAID 221523300 BLUE CROSS

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