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Contact Information

AMJ OPTOMETRIC SERVICES PSC
111 STAR ST STE 101
MANKATO, MN56001-4889
 Phone: 507-387-6695
 Fax: 507-668-0358
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Optometrist

152W00000X 41 Optometry
 

Eyewear Supplier

332H00000X 87 All Other Suppliers
Indicates primary specialty

NPI Profile & details for AMJ OPTOMETRIC SERVICES PSC

NPI # 1659635209
LBN Legal business name AMJ OPTOMETRIC SERVICES PSC
Authorized official ANGELA JOHNSON - (CEO)
Entity Organization
Organization subpart 1 No
Enumeration date 06/28/2012
Last updated 03/27/2024 - About 2 years ago
Identifiers
MN License # 3175
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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