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Contact Information

MCALLEN RUTZ EYE CLINIC PA
204 SOUTH ATLANTIC
HALLOCK, MN56728
 Phone: 218-843-2663
 Fax: 218-843-2665
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Optometrist

152W00000X 41 Optometry
Indicates primary specialty

NPI Profile & details for MCALLEN RUTZ EYE CLINIC PA

NPI # 1164533410
LBN Legal business name MCALLEN RUTZ EYE CLINIC PA
Authorized official DUANE RUTZ - (CEO/ PRESIDENT)
Entity Organization
Organization subpart 1 No
Enumeration date 08/31/2006
Last updated 03/11/2008 - About 18 years ago
Identifiers
MN License # 1836
MN Other 63520MC BCBS
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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