National Provider Identifier Database

MIDWEST VISION CENTERS INC
Optician


Contact Information

MIDWEST VISION CENTERS INC
830 WASHINGTON AVENUE
DETROIT LAKES, MN56501
Phone: 218-847-2127
Fax: 218-847-0911
Website:
Specialty Taxonomy Code
* Optician 156FX1800X

* Indicates primary specialty

NPI Profile & details for MIDWEST VISION CENTERS INC

NPI Number 1144364894
Legal business name
LBN
MIDWEST VISION CENTERS INC
Authorized official CARIN EVANS - (DIRECTOR OF OPERATIONS)
Entity Organization
Organization subpart Yes
Enumeration date 02/16/2007
Last updated 11/10/2021 - About 5 years ago
Sole proprietor1 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

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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