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Contact Information

LISA M BINGHAM, OD
111 S. BROADWAY
ROCHESTER, MN55904
 Phone: 507-281-4050
 Fax: 507-281-4929
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Optometrist

152W00000X 41 Optometry
Indicates primary specialty

NPI Profile & details for LISA M BINGHAM · (Female)

NPI Number 1396059895
Status Active
Credentials OD (Doctor of Optometry)
Entity Individual
Enumeration date 07/27/2010
Last updated 03/21/2012 - About 14 years ago
Sole proprietor 1 No
Identifiers
  • IL License # 046010402
  • MN License # 3221
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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