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Contact Information

OAKDALE OPTICAL
7013 10TH ST N
OAKDALE, MN55128-5938
 Phone: 651-738-8040
 Fax: 651-714-0759
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Eyewear Supplier

332H00000X 87 All Other Suppliers
Indicates primary specialty

NPI Profile & details for OAKDALE OPTICAL

NPI Number 1235282633
LBN Legal business name OAKDALE OPTICAL
Authorized official JOHN ELVERUM - (OWNER)
Entity Organization
Organization subpart 1 No
Enumeration date 01/19/2007
Last updated 08/22/2020 - About 6 years ago
Identifiers
MN License # 1460
MN Other 1C741OA BCBS DISP
MN Other 86629EL BCBS PROVIDER
MN Other 56097EL BCBS SITE
MN Other 2222625 MEDICA
MN Other 2113780 MEDICA DISP
MN Other 106141 PREFERRED ONE GROUP
MN Other 101869 UCARE
MN Other 106141 UCARE HARDWARE
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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