Elk River Eye Clinic, P.A. in Elk River - Optometrist
Elk River Eye Clinic, P.A. - NPI 1063457943
Elk River Eye Clinic, P.A. is a Optometrist in Elk River, Minnesota. Elk River Eye Clinic, P.A. practices all healthcare services and medical treatments related to Optometrist. The NPI Number for Elk River Eye Clinic, P.A. is 1063457943. The last update date is 2010-08-06.
Elk River Eye Clinic, P.A.'s current location address is 19022 Freeport Ave Nw, Elk River, Minnesota. You can contact this provider via phone number 7634411055 and fax number 7634417024. The mailing address for Elk River Eye Clinic, P.A. is 19022 Freeport Ave Nw, Elk River, Minnesota. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Elk River Eye Clinic, P.A. |
|---|---|
| Address | 19022 Freeport Ave Nw, Elk River, Minnesota |
| Phone Number | 7634411055 |
| Fax Number | 7634417024 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | PRESIDENT |
|---|---|
| Authorized Official Name | Hoffard Mark Gary |
| Credentials | O.D. |
| Telephone Number | 7634411055 |
NPI Number Detail
| NPI Number | 1063457943 |
|---|---|
| Provider Enumeration Date | 2006-06-17 |
| Last Updated Date | 2010-08-06 |
Provider Mailing Address Detail
| Address | 19022 Freeport Ave Nw |
|---|---|
| City | Elk River |
| State | Minnesota (MN) |
| Post Code | 553304767 |
| Phone Number | 7634411055 |
| Fax Number | 7634417024 |
Provider's Primary Taxonomy Detail
| Speciality | Optometrist |
|---|---|
| Taxonomy | 152W00000X |
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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 |
|---|---|---|---|
| 98-22038 | MN | MEDICA CLINIC NUMBER | |
| 115815 | MN | UCARE | |
| 52390HO | MN | BCBS | |
| 379314100 | MN | -- | |
| 81961 | MN | HEALTH PARTNERS | |
| 96458 | MN | PREFERRED ONE | |
| 5C159EL | MN | BCBS MATERIALS | |
| CJ6982 | MN | RAILROAD MEDICARE | |
| 21-15856 | MN | MEDICA OPTICAL |
Post Comment/ Review Below
What is the unique 10-digit identification code issued to Elk River Eye Clinic, P.A. by the Centers for Medicare & Medicaid Services?
The Elk River Eye Clinic, P.A. has been assigned the NPI (National Provider Identifier) 1063457943 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 Elk River Eye Clinic, P.A. is physically located?
The Elk River Eye Clinic, P.A. is physically situated at the following address: 19022 Freeport Ave Nw, Elk River, MN, 553304767.
What is Elk River Eye Clinic, P.A.'s primary field of medical specialization, and what is the corresponding taxonomy classification code for this area of expertise?
The primary field of medical specialization for Elk River Eye Clinic, P.A. is Optometrist, and the taxonomy classification code that categorizes this area of expertise is 152W00000X.
On what date did the Centers for Medicare & Medicaid Services originally issue the 1063457943 to Elk River Eye Clinic, P.A.?
The Centers for Medicare & Medicaid Services originally issued the 1063457943 to Elk River Eye Clinic, P.A. on 2006-06-17.
As of what date was the information regarding Elk River Eye Clinic, P.A., such as address, specialty, and other details, last verified and confirmed to be up-to-date?
The information related to Elk River Eye Clinic, P.A., including its address, specialty, and other relevant details, was last verified and confirmed to be up-to-date on 2010-08-06.