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Contact Information

NORTH LAND OPTICAL CO
600 E SUPERIOR ST
STE # 111
DULUTH, MN55802-2222
 Phone: 218-722-4212
 Fax: 218-722-4212
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Eyewear Supplier

332H00000X 87 All Other Suppliers
Indicates primary specialty

NPI Profile & details for NORTH LAND OPTICAL CO

NPI Number 1699916544
LBN Legal business name NORTH LAND OPTICAL CO
Authorized official RON HORN - (OWNER)
Entity Organization
Organization subpart 1 No
Enumeration date 03/23/2009
Last updated 07/21/2022 - About 4 years ago
Identifiers
MN Medicaid 1891784062
MN Other 1891784062 BLUE CROSS BLUE SHEILD OF MINNESOTA
MN Other 1891784062 BLUE PLUS OF MINNESOTA
MN Other 1891784062 FIRST PLAN BLUE
MN Other 61773 HEALTHPARTNERS
MN Other 21-00559 MEDICA
MN Other 22-00240 MEDICA
MN Other 110498 UCARE MINNESOTA
MN Other 111276 UCARE MINNESOTA
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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