MIDWEST VISION CENTERS INC; NPI #1144364894

Contact Information

MIDWEST VISION CENTERS INC

830 WASHINGTON AVENUE
DETROIT LAKES, MN 56501

Phone: 218-847-2127
Fax: 218-847-0911
Website:

	Specialty	Taxonomy Code	Specialty Code	Provider Type
	Optician	156FX1800X	96[5]	Optician

Indicates primary specialty

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NPI Profile & details for MIDWEST VISION CENTERS INC

NPI # 1144364894

LBN Legal business name MIDWEST VISION CENTERS INC

Authorized official CARIN EVANS - (DIRECTOR OF OPERATIONS)

Entity Organization

Organization subpart ¹ Yes

Enumeration date 02/16/2007

Last updated 11/10/2021 - About 5 years ago

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 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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MIDWEST VISION CENTERS INC

Contact Information

Specialty

Optician

NPI Profile & details for MIDWEST VISION CENTERS INC

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