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Contact Information

PINE EYE ASSOCIATES, PA
110 EVERGREEN SQUARE
PINE CITY, MN55063
 Phone: 320-629-7262
 Fax: 320-629-7789
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Optometrist

152W00000X 41 Optometry
Indicates primary specialty

NPI Profile & details for PINE EYE ASSOCIATES PA · (Female)

NPI # 1851324313
Status Active
Credentials
Entity Individual
Enumeration date 07/08/2006
Last updated 03/12/2009 - About 17 years ago
Sole proprietor 1 Not specified
Identifiers
  • MN Medicaid 644731700
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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