Craig Roberts Mickelson in Thief River Falls - Optometrist
Craig Roberts Mickelson - NPI 1184720013
Craig Roberts Mickelson is a Optometrist in Thief River Falls, Minnesota. Craig Roberts Mickelson practices all healthcare services and medical treatments related to Optometrist. The NPI Number for Craig Roberts Mickelson is 1184720013. The last update date is 2011-10-24.
Craig Roberts Mickelson's current location address is 1720 Highway 59 S, Thief River Falls, Minnesota. You can contact this provider via phone number 2186814747. The mailing address for Craig Roberts Mickelson is 1720 Highway 59 S, Thief River Falls, Minnesota. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Craig Roberts Mickelson |
|---|---|
| Address | 1720 Highway 59 S, Thief River Falls, Minnesota |
| Phone Number | 2186814747 |
| Fax Number | |
| Sole Proprietor | N |
| Credentials | O.D. |
NPI Number Detail
| NPI Number | 1184720013 |
|---|---|
| Provider Enumeration Date | 2006-09-16 |
| Last Updated Date | 2011-10-24 |
Provider Mailing Address Detail
| Address | 1720 Highway 59 S |
|---|---|
| City | Thief River Falls |
| State | Minnesota (MN) |
| Post Code | 567014331 |
| Phone Number | 2186814747 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Optometrist |
|---|---|
| Taxonomy | 152W00000X |
| Licence No | 1891 |
|
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 |
|---|---|---|---|
| 410044422 | RR MEDICARE | ||
| 140661 | MN | UCARE | |
| 457323400 | MN | -- | |
| 71973 | HEALTH PARTNERS | ||
| 1026440 | PREFERRED ONE | ||
| 61B37MI | MN | BLUE CROSS BLUE SHIELD | |
| 2201140 | MEDICA | ||
| 3902360001 | MN | DURABLE MEDICAL EQUIPMENT |
Post Comment/ Review Below
What is the unique provider identifier assigned to Craig Roberts Mickelson?
The Craig Roberts Mickelson has been issued the NPI (National Provider Identifier) 1184720013 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code is a unique identification number for healthcare providers.
Could you kindly provide the complete physical address where Craig Roberts Mickelson's facilities are geographically located?
The facilities of Craig Roberts Mickelson are physically situated at the following location: 1720 Highway 59 S, Thief River Falls, MN, 567014331.
What is Craig Roberts Mickelson's primary area of medical expertise, and what taxonomy classification code corresponds to this specialized field?
The primary area of medical expertise for Craig Roberts Mickelson is Optometrist, and the corresponding taxonomy classification code for this specialized field is 152W00000X.
When did the Craig Roberts Mickelson receive its 1184720013?
The Craig Roberts Mickelson was issued its 1184720013 on 2006-09-16, which is the date when the organization was assigned this unique identifier.
When was the information related to Craig Roberts Mickelson most recently updated or refreshed?
The details pertaining to the Craig Roberts Mickelson, including its address, specialty, and other relevant information, were last updated or refreshed on 2011-10-24.
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