National Provider Identifier Database

MOOSE LAKE EYE CARE LLC
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

MOOSE LAKE EYE CARE, LLC
45 LADY LUCK DR.
SUITE 120
HINCKLEY, MN55037
Phone: 320-384-6361
Fax: 320-384-6361
Website:
Specialty Taxonomy Code
* Optometrist 152W00000X

* Indicates primary specialty

NPI Profile & details for MOOSE LAKE EYE CARE, LLC

NPI Number 1700263985
Legal business name
LBN
MOOSE LAKE EYE CARE, LLC
Authorized official SASHA NARAYAN - (PRESIDENT)
Entity Organization
Organization subpart Yes
Enumeration date 04/27/2015
Last updated 04/27/2015 - About 11 years ago
Sole proprietor1 Not specified
Identifiers
  • MN License #: 152W00000X
  • MN Medicaid: 1411674742
  • MN Other: 1235188079 PROVIDER NPI
  • MN Other: 1275582421 PROVIDER NPI
  • MN Other: 1760558399 PROVIDER NPI

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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