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EYE FASHIONS OPTICAL SHOPPE INC
Optometrist

NPI Profile for EYE FASHIONS OPTICAL SHOPPE INC in GRAND RAPIDS, MN.

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Contact Information

EYE FASHIONS OPTICAL SHOPPE INC
202 NW 1ST AVE
GRAND RAPIDS, MN  55744
 Phone: 218-326-0358
 Fax: 218-999-0067
 Website:
 

Specialty

 Taxonomy Code Specialty Code Provider Type

Optometrist

 152W00000X 41 Optometry
Indicates primary specialty

NPI Profile & details for EYE FASHIONS OPTICAL SHOPPE INC · (Female)

NPI Number 1477624971
Status Active
Credentials
Entity Individual
Enumeration date 11/13/2006
Last updated 11/25/2024 - More than a year ago
Sole proprietor 1 Not specified
Identifiers
  • MN License # 2415
  • MN Medicaid 593932000
  • Other 3C837EY BLUE PLUS
  • Other 3C838SC BLUE PLUS
  • Other 4C427EY BLUE PLUS
  • Other 3C837EY BLUE SHIELD
  • Other 3C838SC BLUE SHIELD
  • Other 974251008835 CBSA PPO
  • Other 1008835 COPORATE BENEFIT SERV
  • Other U33589 EYEMED
  • Other U33589 FIRSTPLAN
  • Other U33589 FIRSTPLANBLUE
  • Other HP29720 HEALTHPARTNERS
  • Other 2200897 MEDICA GR EX
  • Other 974251008835 PREFERRED ONE
  • MN Other 4C427EY MINN CARE BLUE PLUS
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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