Minnesota Vision Outreach, Inc in Plymouth - Optometrist
Minnesota Vision Outreach, Inc - NPI 1457563827
Minnesota Vision Outreach, Inc is a Optometrist in Plymouth, Minnesota. Minnesota Vision Outreach, Inc practices all healthcare services and medical treatments related to Optometrist. The NPI Number for Minnesota Vision Outreach, Inc is 1457563827. The last update date is 2016-11-10.
Minnesota Vision Outreach, Inc's current location address is 9905 45th Avenue North, Plymouth, Minnesota. You can contact this provider via phone number 7635958414 and fax number 7635958438. The mailing address for Minnesota Vision Outreach, Inc is 9905 45th Avenue North, Plymouth, Minnesota. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Minnesota Vision Outreach, Inc |
|---|---|
| Address | 9905 45th Avenue North, Plymouth, Minnesota |
| Phone Number | 7635958414 |
| Fax Number | 7635958438 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | OWNER |
|---|---|
| Authorized Official Name | Wolfson Samuel |
| Credentials | O.D. |
| Telephone Number | 7635858414 |
NPI Number Detail
| NPI Number | 1457563827 |
|---|---|
| Provider Enumeration Date | 2007-05-05 |
| Last Updated Date | 2016-11-10 |
Provider Mailing Address Detail
| Address | 9905 45th Avenue North |
|---|---|
| City | Plymouth |
| State | Minnesota (MN) |
| Post Code | 554223315 |
| Phone Number | 7635958414 |
| Fax Number | 7635958438 |
Provider's Primary Taxonomy Detail
| Speciality | Optometrist |
|---|---|
| Taxonomy | 152W00000X |
| Licence No | 1706 |
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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 |
|---|---|---|---|
| 2100002 | MN | MEDICA PRIMARY | |
| 23979 | MN | HEALTH PARTNERS | |
| 3C780MI | MN | BLUE PLUS | |
| 2115998 | MN | MEDICA CHOICE | |
| 102877 | MN | UCARE | |
| 96744100 | MN | -- | |
| 19467WO | MN | BCBS OF MN | |
| 2499537 | MN | MHP |
Post Comment/ Review Below
What is the Minnesota Vision Outreach, Inc's 1457563827?
The Minnesota Vision Outreach, Inc's NPI (National Provider Identifier) Number is 1457563827. This unique 10-digit identification number is assigned to health care providers by the Centers for Medicare & Medicaid Services (CMS).
Could you please provide the complete physical location address of Minnesota Vision Outreach, Inc?
The Minnesota Vision Outreach, Inc is physically situated at 9905 45Th Avenue North, in the city of Plymouth, state of MN, with the postal code 554223315.
What is Minnesota Vision Outreach, Inc's specialized area of practice, and what is the corresponding taxonomy classification code for this field?
The Minnesota Vision Outreach, Inc's specialized field of practice is Optometrist, and the corresponding taxonomy code that categorizes this area of specialization is 152W00000X.
When was the Minnesota Vision Outreach, Inc's 1457563827 issued?
The Minnesota Vision Outreach, Inc's 1457563827 was issued on 2007-05-05.
As of what date was the information regarding Minnesota Vision Outreach, Inc, such as address, specialty, and other details, last verified and confirmed to be up-to-date?
The information related to Minnesota Vision Outreach, Inc, including its address, specialty, and other relevant details, was last verified and confirmed to be up-to-date on 2016-11-10.