Crossroads Optometric Clinic, Inc. in Prior Lake - Optometrist
Crossroads Optometric Clinic, Inc. - NPI 1164448627
Crossroads Optometric Clinic, Inc. is a Optometrist in Prior Lake, Minnesota. Crossroads Optometric Clinic, Inc. practices all healthcare services and medical treatments related to Optometrist. The NPI Number for Crossroads Optometric Clinic, Inc. is 1164448627. The last update date is 2020-12-08.
Crossroads Optometric Clinic, Inc.'s current location address is 16250 Duluth Ave Se Ste 100, Prior Lake, Minnesota. You can contact this provider via phone number 9524472020 and fax number 9524472322. The mailing address for Crossroads Optometric Clinic, Inc. is 16250 Duluth Ave Se Ste 100, Prior Lake, Minnesota. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Crossroads Optometric Clinic, Inc. |
|---|---|
| Address | 16250 Duluth Ave Se Ste 100, Prior Lake, Minnesota |
| Phone Number | 9524472020 |
| Fax Number | 9524472322 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | OWNER/OPTO |
|---|---|
| Authorized Official Name | Dawson-Clausen Anne Lisa |
| Credentials | OD |
| Telephone Number | 9524472020 |
NPI Number Detail
| NPI Number | 1164448627 |
|---|---|
| Provider Enumeration Date | 2006-07-15 |
| Last Updated Date | 2020-12-08 |
Provider Mailing Address Detail
| Address | 16250 Duluth Ave Se Ste 100 |
|---|---|
| City | Prior Lake |
| State | Minnesota (MN) |
| Post Code | 553722883 |
| Phone Number | 9524472020 |
| Fax Number | 9524472322 |
Provider's Primary Taxonomy Detail
| Speciality | Optometrist |
|---|---|
| Taxonomy | 152W00000X |
| Licence No | 1425 |
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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 |
|---|---|---|---|
| 92364 | MN | PREFERRED ONE | |
| 2123989 | MN | MEDICA DME | |
| 3C258CR | MN | BCBS DME | |
| 4825 | MN | HEALTHPARTNERS | |
| 51154HI | MN | BCBS-MN | |
| 2223987 | MN | MEDICA |
Post Comment/ Review Below
What is the unique provider identifier assigned to Crossroads Optometric Clinic, Inc.?
The Crossroads Optometric Clinic, Inc. has been issued the NPI (National Provider Identifier) 1164448627 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code is a unique identification number for healthcare providers.
Could you please provide the complete street address where Crossroads Optometric Clinic, Inc. is physically located?
The Crossroads Optometric Clinic, Inc. is physically situated at the following address: 16250 Duluth Ave Se Ste 100, Prior Lake, MN, 553722883.
What is Crossroads Optometric Clinic, Inc.'s specialized field of practice, and what is the corresponding taxonomy classification code?
The Crossroads Optometric Clinic, Inc.'s area of specialization is Optometrist, and the corresponding taxonomy code that categorizes this field of practice is 152W00000X.
When did Crossroads Optometric Clinic, Inc. receive its 1164448627 assignment?
The Crossroads Optometric Clinic, Inc. was assigned its 1164448627 on 2006-07-15, which is the date when this unique identifier was issued to the organization.
As of what date were the details pertaining to Crossroads Optometric Clinic, Inc. last refreshed?
The information related to the Crossroads Optometric Clinic, Inc., including its address, specialty, and other relevant details, was last updated on 2020-12-08.