Minnesota Eyecare Network, INC
Optometrist in Barnesville, MN. Organization (NPI-2).
NPI number1760655740
StatusActive
Last updated in NPPESJun 5, 2015
Details
- NPI
- 1760655740
- Entity type
- Organization (NPI-2)
- Legal business name
- Minnesota Eyecare Network, INC
- Organization subpart
- No
- Enumeration date
- Apr 10, 2008
- Last updated
- Jun 5, 2015
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 152W00000X | Optometrist | – | – | Yes |
| 332H00000X | Eyewear Supplier (Equipment, not the service) | – | – |
Other names
- Azure Vision Care (Doing Business As)
Practice location
112 Front Street SBarnesville, MN 56514-0655
Phone 218-354-2510 · Fax 218-354-2510
Mailing address
652 Jefferson Street NWadena, MN 56482-2307
Phone 218-631-1456 · Fax 281-631-3213
Authorized official
Timothy C Neitzke
President
2183463310
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