Douglas Roland Landsverk in Aitkin - Optometrist

Douglas Roland Landsverk - NPI 1265483606

Douglas Roland Landsverk is a Optometrist in Aitkin, Minnesota. Douglas Roland Landsverk practices all healthcare services and medical treatments related to Optometrist. The NPI Number for Douglas Roland Landsverk is 1265483606. The last update date is 2009-03-03.

Douglas Roland Landsverk's current location address is 312 Minnesota Ave N, Aitkin, Minnesota. You can contact this provider via phone number 2189273213 and fax number 2189272266. The mailing address for Douglas Roland Landsverk is 312 Minnesota Ave N, Aitkin, Minnesota. To know further, please read the information below!

Provider Profile Detail

Provider Name Douglas Roland Landsverk
Address 312 Minnesota Ave N, Aitkin, Minnesota
Phone Number 2189273213
Fax Number 2189272266
Sole Proprietor N
Credentials OD

NPI Number Detail

NPI Number 1265483606
Provider Enumeration Date 2006-05-12
Last Updated Date 2009-03-03

Provider Mailing Address Detail

Address 312 Minnesota Ave N
City Aitkin
State Minnesota (MN)
Post Code 564311414
Phone Number 2189273213
Fax Number 2189272266

Provider's Primary Taxonomy Detail

Speciality Optometrist
Taxonomy 152W00000X
Licence No 1998
Definition:
Doctors of optometry (ODs) are the primary health care professionals for the eye. Optometrists examine, diagnose, treat, and manage diseases, injuries, and disorders of the visual system, the eye, and associated structures as well as identify related

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
2210683 MN MEDICA
5C924LA MN BCBS
97723300 MN --

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FAQs about Douglas Roland Landsverk

What is the unique identifier code issued to Douglas Roland Landsverk by the Centers for Medicare & Medicaid Services (CMS)?

The Douglas Roland Landsverk has been assigned the NPI (National Provider Identifier) 1265483606. This 10-digit code serves as a unique identification number for healthcare providers, issued by the CMS.

Could you please provide the complete street address where Douglas Roland Landsverk is physically located?

The Douglas Roland Landsverk is physically situated at the following address: 312 Minnesota Ave N, Aitkin, MN, 564311414.

What is the Douglas Roland Landsverk's specialty and taxonomy code?

The Douglas Roland Landsverk's specialty is Optometrist, and the corresponding taxonomy code is 152W00000X.

On what date did the Douglas Roland Landsverk receive its 1265483606 assignment from the Centers for Medicare & Medicaid Services?

The Douglas Roland Landsverk was assigned its 1265483606 by the Centers for Medicare & Medicaid Services on 2006-05-12.

When was the Douglas Roland Landsverk's information last updated?

The Douglas Roland Landsverk's information was last updated on 2009-03-03.

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