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Contact Information

CENTRASOTA EYE CARE, INC
3950 VETERANS DR
SUITE 103
SAINT CLOUD, MN56303-3410
 Phone: 320-258-2020
 Fax: 320-258-3181
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Eyewear Supplier

332H00000X 87 All Other Suppliers
 

Optometrist

152W00000X 41 Optometry
Indicates primary specialty

NPI Profile & details for CENTRASOTA EYE CARE, INC

NPI Number 1316133762
LBN Legal business name CENTRASOTA EYE CARE, INC
Authorized official VICKY TAMBLYN - (MANAGER)
Entity Organization
Organization subpart 1 No
Enumeration date 09/19/2007
Last updated 09/19/2007 - About 19 years ago
Identifiers n/a
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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