Bradley W Neujahr Od Pa in Fosston - Optometrist
Bradley W Neujahr Od Pa - NPI 1033107230
Bradley W Neujahr Od Pa is a Optometrist in Fosston, Minnesota. Bradley W Neujahr Od Pa practices all healthcare services and medical treatments related to Optometrist. The NPI Number for Bradley W Neujahr Od Pa is 1033107230. The last update date is 2008-10-28.
Bradley W Neujahr Od Pa's current location address is 111 2nd St Ne, Fosston, Minnesota. You can contact this provider via phone number 2184351010 and fax number 2184351715. The mailing address for Bradley W Neujahr Od Pa is 111 2nd St Ne, Fosston, Minnesota. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Bradley W Neujahr Od Pa |
|---|---|
| Address | 111 2nd St Ne, Fosston, Minnesota |
| Phone Number | 2184351010 |
| Fax Number | 2184351715 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | CEO OWNER |
|---|---|
| Authorized Official Name | Neujahr Wayne Bradley |
| Credentials | OD |
| Telephone Number | 2184351010 |
NPI Number Detail
| NPI Number | 1033107230 |
|---|---|
| Provider Enumeration Date | 2005-10-11 |
| Last Updated Date | 2008-10-28 |
Provider Mailing Address Detail
| Address | 111 2nd St Ne |
|---|---|
| City | Fosston |
| State | Minnesota (MN) |
| Post Code | 565421301 |
| Phone Number | 2184351010 |
| Fax Number | 2184351715 |
Provider's Primary Taxonomy Detail
| Speciality | Optometrist |
|---|---|
| Taxonomy | 152W00000X |
| Licence No | 1892 |
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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 |
|---|---|---|---|
| 116599 | MN | MEDICARE - U CARE | |
| 410004074 | RR MEDICARE | ||
| 50601001 | METROPOLITAN HEALTH PLAN | ||
| 63309FO | BCBS BLUE PLUS MATERIALS | ||
| 116599 | MN | -- | |
| 982601006692 | PREFERRED ONE | ||
| 63235NE | BCBS OF MN FACILITY | ||
| 63585NE | BCBS OF MN INDIVIDUAL DR | ||
| 137823600 | MN | -- | |
| 22 24063 | MEDICA |
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What is the unique identifier code issued to Bradley W Neujahr Od Pa by the Centers for Medicare & Medicaid Services?
The Bradley W Neujahr Od Pa has been assigned the NPI (National Provider Identifier) 1033107230. This 10-digit code serves as a unique identification number for healthcare providers issued by the Centers for Medicare & Medicaid Services (CMS).
What is the unique 10-digit identifier code issued to Bradley W Neujahr Od Pa by the Centers for Medicare & Medicaid Services?
The Bradley W Neujahr Od Pa has been assigned the NPI (National Provider Identifier) 1033107230 by the CMS (Centers for Medicare & Medicaid Services). This 10-digit code serves as a unique identification number for healthcare providers.
Could you please share the complete physical location address where Bradley W Neujahr Od Pa's facilities are situated?
The facilities of Bradley W Neujahr Od Pa are physically located at the following address: 111 2Nd St Ne, Fosston, MN, 565421301.
What is Bradley W Neujahr Od Pa's specialized field of practice, and what is the corresponding taxonomy classification code?
The Bradley W Neujahr Od Pa's area of specialization is Optometrist, and the corresponding taxonomy code that categorizes this field of practice is 152W00000X.
When was the information regarding Bradley W Neujahr Od Pa most recently updated?
The details pertaining to the Bradley W Neujahr Od Pa, including its address, specialty, and other relevant information, were last refreshed on 2008-10-28.
NPI Number: 1528061710
Address: 19 Nh Route 104, Meredith, NH