MIDWEST VISION CENTERS INC, Optician DETROIT LAKES, MN

Contact Information

MIDWEST VISION CENTERS INC

830 WASHINGTON AVENUE
DETROIT LAKES, MN 56501

Phone: 218-847-2127
Fax: 218-847-0911
Website:

	Specialty	Taxonomy Code	Specialty Code	Provider Type
	Optician	156FX1800X	96[5]	Optician

Indicates primary specialty

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NPI Profile & details for MIDWEST VISION CENTERS INC · (Female)

NPI Number	`1144364894`
Status	Active
Credentials
Entity	Individual
Enumeration date	02/16/2007
Last updated	11/10/2021 - About 5 years ago
Sole proprietor ¹	Not specified
Identifiers	MN Medicaid 125785400 MN Other 04S34ST BCBS MINNESOTA MN Other 24G89ST BCBS MN EXAMS MN Other MN1917 EYEMED PROVIDER NUMBER MN Other 21-12067 MEDICA PROVIDER ID DISPEN MN Other 22-00802 MEDICA PROVIDER ID EXAMS ND Other 890422 NORTH DAKOTA VISION SERVI
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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MIDWEST VISION CENTERS INCOptician

Contact Information

Specialty

Optician

NPI Profile & details for MIDWEST VISION CENTERS INC · (Female)

Reviews for MIDWEST VISION CENTERS INC

MIDWEST VISION CENTERS INC
Optician