Byron K Fleck in Hermantown - Corneal And Contact Management
Byron K Fleck - NPI 1275626731
Byron K Fleck is a Corneal And Contact Management in Hermantown, Minnesota. Byron K Fleck practices all healthcare services and medical treatments related to Corneal And Contact Management. The NPI Number for Byron K Fleck is 1275626731. The last update date is 2008-08-13.
Byron K Fleck's current location address is 4740 Mall Drive, Hermantown, Minnesota. You can contact this provider via phone number 2187271204. The mailing address for Byron K Fleck is 4740 Mall Drive, Hermantown, Minnesota. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Byron K Fleck |
|---|---|
| Address | 4740 Mall Drive, Hermantown, Minnesota |
| Phone Number | 2187271204 |
| Fax Number | |
| Sole Proprietor | Y |
| Credentials | O.D. |
NPI Number Detail
| NPI Number | 1275626731 |
|---|---|
| Provider Enumeration Date | 2006-10-02 |
| Last Updated Date | 2008-08-13 |
Provider Mailing Address Detail
| Address | 4740 Mall Drive |
|---|---|
| City | Hermantown |
| State | Minnesota (MN) |
| Post Code | 55811 |
| Phone Number | 2187271204 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Corneal And Contact Management |
|---|---|
| Taxonomy | 152Wc0802X |
| Licence No | 2733 |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| B25851028756 | WI | PREFERRED ONE | |
| 16525 | MN | SPECTERA | |
| 37832 | MN | AVESIS | |
| 647819 | MN | PA BLUE CROSS BLUE SHIELD | |
| 128886 | MN | U-CARE | |
| 22-03394 | MN | MEDICA | |
| 22-03395 | WI | MEDICA | |
| 647819 | WI | BCBS PA | |
| B25861028756 | MN | PREFERRED ONE | |
| 43076 | MN | SPECTERA |
Post Comment/ Review Below
What is the unique identification code assigned to Byron K Fleck by the Centers for Medicare & Medicaid Services?
The Byron K Fleck has been issued the NPI (National Provider Identifier) 1275626731. This 10-digit code serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Could you please share the complete physical address where Byron K Fleck is geographically located?
The Byron K Fleck is physically situated at the following location: 4740 Mall Drive, Hermantown, MN, 55811.
What is Byron K Fleck's specialized area of practice, and what is the corresponding taxonomy classification code for this field?
The Byron K Fleck's specialized field of practice is Corneal And Contact Management, and the corresponding taxonomy code that categorizes this area of specialization is 152Wc0802X.
On what date did the Byron K Fleck receive the assignment of its 1275626731 from the Centers for Medicare & Medicaid Services?
The Byron K Fleck was issued its 1275626731 by the Centers for Medicare & Medicaid Services on 2006-10-02.
As of what date was the information pertaining to Byron K Fleck, such as address, specialty, and other details, last reviewed and confirmed to be accurate?
The information related to Byron K Fleck, including its address, specialty, and other relevant details, was last reviewed and confirmed to be accurate on 2008-08-13.