PINE RIVER EYE CENTER, INC.; NPI #1508165572

Contact Information

PINE RIVER EYE CENTER, INC.

14453 EDGEWOOD DR
BAXTER, MN 56425-8459

Phone: 218-829-1789
Fax: 218-829-1780
Website:

	Specialty	Taxonomy Code	Specialty Code	Provider Type
	Eyewear Supplier	332H00000X	87	All Other Suppliers

Indicates primary specialty

Edit contact information

NPI Profile & details for PINE RIVER EYE CENTER, INC.

NPI # 1508165572

LBN Legal business name PINE RIVER EYE CENTER, INC.

Authorized official MICHAEL MARVIN - (CEO)

Entity Organization

Organization subpart ¹ Yes

Enumeration date 03/16/2011

Last updated 03/16/2011 - About 15 years ago

Identifiers

MN	Medicaid	197023200
MN	Other	0579750001	DMERC PTAN

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.

Reviews for PINE RIVER EYE CENTER, INC.

Thanks - Your review has been submitted! Please note that if we find that this review has violated our terms or is simply deemed unacceptable, we will remove it without notice.

There are currently no reviews for PINE RIVER EYE CENTER, INC.
Be the first to post a comment or review.

Read our reviews / comments about this provider to help you decide if they are right for you. Share your experience by posting a comment or review about this provider to help others decide which is right for them.

Nearby Suppliers

WAL-MART STORES, INC.
15091 18TH ST NE
LITTLE FALLS, MN

AMANDA WAHLIN
201 9TH ST W
ADA, MN

THRIFTY DRUG STORES INC
319 W MAIN ST
ADA, MN

MARY E VANCE, FNP
9900 BREN ROAD EAST
008-B213, MN

View all Suppliers

PINE RIVER EYE CENTER, INC.

Contact Information

Specialty

Eyewear Supplier

NPI Profile & details for PINE RIVER EYE CENTER, INC.

Reviews for PINE RIVER EYE CENTER, INC.