Granite City Family Eye Care Pa in Waite Park - Optometrist
Granite City Family Eye Care Pa - NPI 1538363478
Granite City Family Eye Care Pa is a Optometrist in Waite Park, Minnesota. Granite City Family Eye Care Pa practices all healthcare services and medical treatments related to Optometrist. The NPI Number for Granite City Family Eye Care Pa is 1538363478. The last update date is 2023-03-07.
Granite City Family Eye Care Pa's current location address is 414 Great Oak Dr, Waite Park, Minnesota. You can contact this provider via phone number 3202518061 and fax number 3202028031. The mailing address for Granite City Family Eye Care Pa is 414 Great Oak Dr, Waite Park, Minnesota. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Granite City Family Eye Care Pa |
|---|---|
| Address | 414 Great Oak Dr, Waite Park, Minnesota |
| Phone Number | 3202518061 |
| Fax Number | 3202028031 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | OWNER/OPTO |
|---|---|
| Authorized Official Name | Hofer J Rebecca |
| Credentials | OD |
| Telephone Number | 3202518061 |
NPI Number Detail
| NPI Number | 1538363478 |
|---|---|
| Provider Enumeration Date | 2007-06-13 |
| Last Updated Date | 2023-03-07 |
Provider Mailing Address Detail
| Address | 414 Great Oak Dr |
|---|---|
| City | Waite Park |
| State | Minnesota (MN) |
| Post Code | 563872504 |
| Phone Number | 3202518061 |
| Fax Number | 3202028031 |
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 |
|---|---|---|---|
| 410002837 | MN | -- | |
| 1710903562 | NPI | ||
| V07233 | UPIN |
Post Comment/ Review Below
What is the Granite City Family Eye Care Pa's 1538363478?
The Granite City Family Eye Care Pa's NPI (National Provider Identifier) Number is 1538363478. This unique 10-digit identification number is assigned to health care providers by the Centers for Medicare & Medicaid Services (CMS).
Could you please share the complete physical address where Granite City Family Eye Care Pa is geographically located?
The Granite City Family Eye Care Pa is physically situated at the following location: 414 Great Oak Dr, Waite Park, MN, 563872504.
What is the Granite City Family Eye Care Pa's specialty and taxonomy code?
The Granite City Family Eye Care Pa's specialty is Optometrist, and the corresponding taxonomy code is 152W00000X.
On what date did the Centers for Medicare & Medicaid Services originally issue the 1538363478 to Granite City Family Eye Care Pa?
The Centers for Medicare & Medicaid Services originally issued the 1538363478 to Granite City Family Eye Care Pa on 2007-06-13.
When was the Granite City Family Eye Care Pa's information last updated?
The Granite City Family Eye Care Pa's information was last updated on 2023-03-07.
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