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Contact Information

CRYSTAL VIEW EYE CARE
102 W HUMPHREY ST
LAKE CRYSTAL, MN56055-0158
 Phone: 507-726-6639
 Fax: 507-726-6382
 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 CRYSTAL VIEW EYE CARE

NPI Number 1740309640
LBN Legal business name CRYSTAL VIEW EYE CARE
Authorized official JUDITH SWEZEY - (OWNER--OPTOMETRIST)
Entity Organization
Organization subpart 1 No
Enumeration date 03/29/2007
Last updated 07/16/2008 - About 18 years ago
Identifiers
MN License # 2215
MN Medicaid 248078600
MN Medicaid 280025000
MN Other 35770CR BCBS OF MN CLINIC ID#
MN Other 4C995CR BCBS OF MN ID# (PRODUCT)
MN Other 38204 HEALTH PARTNERS OFFICE ID
MN Other 22-20126 MEDICA ID#
MN Other 114270 UCARE CLINIC ID#
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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