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Contact Information

ERIC M TJELLE, OD
1720 HWY 59 SE
SUITE 1 BOX 505
THIEF RIVER FALLS, MN56701
 Phone: 218-681-3300
 Fax: 218-681-6733
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Optometrist

152W00000X 41 Optometry
Indicates primary specialty

NPI Profile & details for ERIC M TJELLE · (Male)

NPI # 1093732612
Status Active
Credentials OD (Doctor of Optometry)
Entity Individual
Enumeration date 07/17/2006
Last updated 04/20/2011 - About 15 years ago
Sole proprietor 1 No
Identifiers
  • MN License # 2833
  • MN Medicaid 928102900
  • Other 2282569 MEDICA
  • Other 644201041982 PREF
  • MN Other 289M4TJ BC
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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