National Provider Identifier Database

ROSEAUWARROAD EYE CLINIC PA
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

ROSEAU/WARROAD EYE CLINIC, P.A.
301 LAKE STREET NE
WARROAD, MN56763
Phone: 218-386-2081
Fax: 218-386-1217
Website:
Specialty Taxonomy Code
* Optometrist 152W00000X

* Indicates primary specialty

NPI Profile & details for ROSEAU/WARROAD EYE CLINIC, P.A.

NPI Number 1861562340
Legal business name
LBN
ROSEAU/WARROAD EYE CLINIC, P.A.
Authorized official ROSS OLSON - (OWNER/OPTOMETRIST)
Entity Organization
Organization subpart No
Enumeration date 11/09/2006
Last updated 08/05/2014 - About 12 years ago
Sole proprietor1 Not specified
Identifiers
  • MN License #: #1693
  • MN License #: 1618
  • MN License #: 1693
  • MN License #: 2946
  • MN Medicaid: 275823700
  • MN Other: 14000DI BLUE CROSS BLUE SHIELD
  • MN Other: 14023ER BLUE CROSS BLUE SHIELD

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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