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Contact Information

PINE EYE ASSOCIATES, PA
110 EVERGREEN SQUARE
PINE CITY, MN55063
 Phone: 320-629-7262
 Fax: 320-629-7789
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Optometrist

152W00000X 41 Optometry
Indicates primary specialty

NPI Profile & details for PINE EYE ASSOCIATES, PA

NPI Number 1851324313
LBN Legal business name PINE EYE ASSOCIATES, PA
Authorized official KRISTI IVERSON - (CFO, OWNER)
Entity Organization
Organization subpart 1 No
Enumeration date 07/08/2006
Last updated 03/12/2009 - About 17 years ago
Identifiers
MN Medicaid 644731700
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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