Annandale Eye Clinic Inc in Annandale - Optometrist
Annandale Eye Clinic Inc - NPI 1629148614
Annandale Eye Clinic Inc is a Optometrist in Annandale, Minnesota. Annandale Eye Clinic Inc practices all healthcare services and medical treatments related to Optometrist. The NPI Number for Annandale Eye Clinic Inc is 1629148614. The last update date is 2020-08-22.
Annandale Eye Clinic Inc's current location address is Po Box 128, Annandale, Minnesota. You can contact this provider via phone number 3202743701 and fax number 3202743784. The mailing address for Annandale Eye Clinic Inc is Po Box 128, Annandale, Minnesota. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Annandale Eye Clinic Inc |
|---|---|
| Address | Po Box 128, Annandale, Minnesota |
| Phone Number | 3202743701 |
| Fax Number | 3202743784 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | OWNER |
|---|---|
| Authorized Official Name | Tancabel Lee Terrence |
| Credentials | O.D. |
| Telephone Number | 3202743701 |
NPI Number Detail
| NPI Number | 1629148614 |
|---|---|
| Provider Enumeration Date | 2006-11-08 |
| Last Updated Date | 2020-08-22 |
Provider Mailing Address Detail
| Address | Po Box 128 |
|---|---|
| City | Annandale |
| State | Minnesota (MN) |
| Post Code | 553020128 |
| Phone Number | 3202743701 |
| Fax Number | 3202743784 |
Provider's Primary Taxonomy Detail
| Speciality | Optometrist |
|---|---|
| Taxonomy | 152W00000X |
| Licence No | 1765 |
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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 |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 230R3TA | MN | BCBS |
Post Comment/ Review Below
What is the unique 10-digit identification code issued to Annandale Eye Clinic Inc by the Centers for Medicare & Medicaid Services?
The Annandale Eye Clinic Inc has been assigned the NPI (National Provider Identifier) 1629148614 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for healthcare providers.
Could you please provide the complete street address where Annandale Eye Clinic Inc is physically located?
The Annandale Eye Clinic Inc is physically situated at the following address: Po Box 128, Annandale, MN, 553020128.
What is Annandale Eye Clinic Inc's specialized field of practice, and what is the corresponding taxonomy classification code?
The Annandale Eye Clinic Inc's area of specialization is Optometrist, and the corresponding taxonomy code that categorizes this field of practice is 152W00000X.
On what date did the Centers for Medicare & Medicaid Services originally issue the 1629148614 to Annandale Eye Clinic Inc?
The Centers for Medicare & Medicaid Services originally issued the 1629148614 to Annandale Eye Clinic Inc on 2006-11-08.
As of what date were the Annandale Eye Clinic Inc's details last updated?
The information pertaining to the Annandale Eye Clinic Inc, including its address, specialty, and other details, was most recently updated on 2020-08-22.
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