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Contact Information

MINNESOTA EYE CONSULTANTS, PA
1965 11TH AVE E
SUITE 102
MAPLEWOOD, MN55109-5167
 Phone: 952-888-5800
 Fax: 651-748-4445
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Ophthalmology

207W00000X 18 Physician/Ophthalmology
 

Clinical Medical Laboratory

291U00000X 69 Clinical Laboratory
 

Corneal and Contact Management

152WC0802X 41 Optometry
 

Eyewear Supplier

332H00000X 87 All Other Suppliers
Indicates primary specialty

NPI Profile & details for MINNESOTA EYE CONSULTANTS PA · (Female)

NPI Number 1861465064
Status Active
Credentials
Entity Individual
Enumeration date 02/08/2006
Last updated 02/22/2017 - About 9 years ago
Sole proprietor 1 Not specified
Identifiers
  • MN License # 24D2023181
  • MN Medicaid 680090400
  • MN Other 24D2023181 CLIA
  • MN Other CG8516 RR MEDICARE GROUP NUMBER
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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