Mickelson Eye Clinic, Pa in Thief River Falls - Optometrist
Mickelson Eye Clinic, Pa - NPI 1972528776
Mickelson Eye Clinic, Pa is a Optometrist in Thief River Falls, Minnesota. Mickelson Eye Clinic, Pa practices all healthcare services and medical treatments related to Optometrist. The NPI Number for Mickelson Eye Clinic, Pa is 1972528776. The last update date is 2008-04-17.
Mickelson Eye Clinic, Pa's current location address is 126 Labree Ave S, Thief River Falls, Minnesota. You can contact this provider via phone number 2186833937 and fax number 2186834557. The mailing address for Mickelson Eye Clinic, Pa is 126 Labree Ave S, Thief River Falls, Minnesota. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Mickelson Eye Clinic, Pa |
|---|---|
| Address | 126 Labree Ave S, Thief River Falls, Minnesota |
| Phone Number | 2186833937 |
| Fax Number | 2186834557 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | OWNER/ OPT |
|---|---|
| Authorized Official Name | Mickelson R Craig |
| Telephone Number | 2186833937 |
NPI Number Detail
| NPI Number | 1972528776 |
|---|---|
| Provider Enumeration Date | 2006-07-13 |
| Last Updated Date | 2008-04-17 |
Provider Mailing Address Detail
| Address | 126 Labree Ave S |
|---|---|
| City | Thief River Falls |
| State | Minnesota (MN) |
| Post Code | 567012819 |
| Phone Number | 2186833937 |
| Fax Number | 2186834557 |
Provider's Primary Taxonomy Detail
| Speciality | Optometrist |
|---|---|
| Taxonomy | 152W00000X |
| Licence No | 1891 |
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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 |
|---|---|---|---|
| 1026440 | MN | PREFERRED ONE | |
| 2201140 | MN | MEDICA | |
| 71973 | MN | HEALTH PARTNERS | |
| 140661 | MN | UCARE | |
| 61B37MI | MN | BLUE CROSS BLUE SHIELD |
Post Comment/ Review Below
What is the unique 10-digit identification code issued to Mickelson Eye Clinic, Pa by the Centers for Medicare & Medicaid Services?
The Mickelson Eye Clinic, Pa has been assigned the NPI (National Provider Identifier) 1972528776 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for healthcare providers.
Could you please share the complete physical location address where Mickelson Eye Clinic, Pa's facilities are situated?
The facilities of Mickelson Eye Clinic, Pa are physically located at the following address: 126 Labree Ave S, Thief River Falls, MN, 567012819.
What is the area of specialization for Mickelson Eye Clinic, Pa, and what is the corresponding taxonomy classification code for this field?
The specialized field of practice for Mickelson Eye Clinic, Pa is Optometrist, and the corresponding taxonomy code that categorizes this area of expertise is 152W00000X.
When did Mickelson Eye Clinic, Pa receive its 1972528776 assignment?
The Mickelson Eye Clinic, Pa was assigned its 1972528776 on 2006-07-13, which is the date when this unique identifier was issued to the organization.
As of what date was the information regarding Mickelson Eye Clinic, Pa, such as address, specialty, and other details, last verified and confirmed to be up-to-date?
The information related to Mickelson Eye Clinic, Pa, including its address, specialty, and other relevant details, was last verified and confirmed to be up-to-date on 2008-04-17.
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