National Provider Identifier Database

EYE FASHIONS OPTICAL SHOPPE INC
Optometrist

Doctors of optometry (ODs) are the primary health care professionals for the eye. Optometrists examine, diagnose, treat, and manage diseases, injuries, and disorders of the visual system, the eye, and associated structures as well as identify related systemic conditions affecting the eye.


Contact Information

EYE FASHIONS OPTICAL SHOPPE INC
202 NW 1ST AVE
GRAND RAPIDS, MN55744
Phone: 218-326-0358
Fax: 218-999-0067
Website:
Specialty Taxonomy Code
* Optometrist 152W00000X

* Indicates primary specialty

NPI Profile & details for EYE FASHIONS OPTICAL SHOPPE INC

NPI Number 1477624971
Legal business name
LBN
EYE FASHIONS OPTICAL SHOPPE INC
Authorized official LARRY SCHLAUDERAFF - (OWNER OPTOMETRIST)
Entity Organization
Organization subpart No
Enumeration date 11/13/2006
Last updated 11/25/2024 - More than a year ago
Sole proprietor1 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

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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