Maple Grove Vision Clinic, P.A. in Maple Grove - Optometrist
Maple Grove Vision Clinic, P.A. - NPI 1366472342
Maple Grove Vision Clinic, P.A. is a Optometrist in Maple Grove, Minnesota. Maple Grove Vision Clinic, P.A. practices all healthcare services and medical treatments related to Optometrist. The NPI Number for Maple Grove Vision Clinic, P.A. is 1366472342. The last update date is 2009-08-31.
Maple Grove Vision Clinic, P.A.'s current location address is 13645 Grove Dr, Maple Grove, Minnesota. You can contact this provider via phone number 7634208030 and fax number 7634208342. The mailing address for Maple Grove Vision Clinic, P.A. is 13645 Grove Dr, Maple Grove, Minnesota. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Maple Grove Vision Clinic, P.A. |
|---|---|
| Address | 13645 Grove Dr, Maple Grove, Minnesota |
| Phone Number | 7634208030 |
| Fax Number | 7634208342 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | CLINIC ADM |
|---|---|
| Authorized Official Name | Thiel M Linda |
| Telephone Number | 7634208030 |
NPI Number Detail
| NPI Number | 1366472342 |
|---|---|
| Provider Enumeration Date | 2006-07-04 |
| Last Updated Date | 2009-08-31 |
Provider Mailing Address Detail
| Address | 13645 Grove Dr |
|---|---|
| City | Maple Grove |
| State | Minnesota (MN) |
| Post Code | 553114405 |
| Phone Number | 7634208030 |
| Fax Number | 7634208342 |
Provider's Primary Taxonomy Detail
| Speciality | Optometrist |
|---|---|
| Taxonomy | 152W00000X |
|
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 |
|---|---|---|---|
| 762603700 | MN | -- |
Post Comment/ Review Below
What is the unique identifier code issued to Maple Grove Vision Clinic, P.A. by the Centers for Medicare & Medicaid Services?
The Maple Grove Vision Clinic, P.A. has been assigned the NPI (National Provider Identifier) 1366472342. This 10-digit code serves as a unique identification number for healthcare providers issued by the Centers for Medicare & Medicaid Services (CMS).
Could you please share the complete physical location address where Maple Grove Vision Clinic, P.A.'s facilities are situated?
The facilities of Maple Grove Vision Clinic, P.A. are physically located at the following address: 13645 Grove Dr, Maple Grove, MN, 553114405.
What is the area of specialization for Maple Grove Vision Clinic, P.A., and what is the corresponding taxonomy classification code for this field?
The specialized field of practice for Maple Grove Vision Clinic, P.A. is Optometrist, and the corresponding taxonomy code that categorizes this area of expertise is 152W00000X.
On what date did the Centers for Medicare & Medicaid Services originally issue the 1366472342 to Maple Grove Vision Clinic, P.A.?
The Centers for Medicare & Medicaid Services originally issued the 1366472342 to Maple Grove Vision Clinic, P.A. on 2006-07-04.
When was the information related to Maple Grove Vision Clinic, P.A. most recently updated or refreshed?
The details pertaining to the Maple Grove Vision Clinic, P.A., including its address, specialty, and other relevant information, were last updated or refreshed on 2009-08-31.