Elk River Eye Clinic, P.A. in Elk River - Corneal And Contact Management
Elk River Eye Clinic, P.A. - NPI 1063457943
Elk River Eye Clinic, P.A. is a Corneal And Contact Management in Elk River, Minnesota. Elk River Eye Clinic, P.A. practices all healthcare services and medical treatments related to Corneal And Contact Management. The NPI Number for Elk River Eye Clinic, P.A. is 1063457943. The last update date is 2010-08-06.
Elk River Eye Clinic, P.A.'s current location address is 19022 Freeport Ave Nw, Elk River, Minnesota. You can contact this provider via phone number 7634411055 and fax number 7634417024. The mailing address for Elk River Eye Clinic, P.A. is 19022 Freeport Ave Nw, Elk River, Minnesota. To know further, please read the information below!
Provider Profile Detail
Provider Organization | Elk River Eye Clinic, P.A. |
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Address | 19022 Freeport Ave Nw, Elk River, Minnesota |
Phone Number | 7634411055 |
Fax Number | 7634417024 |
Sole Proprietor | -- |
Credentials | -- |
Authorized Official
Title or Position | PRESIDENT |
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Authorized Official Name | Hoffard Mark Gary |
Credentials | O.D. |
Telephone Number | 7634411055 |
NPI Number Detail
NPI Number | 1063457943 |
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Provider Enumeration Date | 2006-06-17 |
Last Updated Date | 2010-08-06 |
Provider Mailing Address Detail
Address | 19022 Freeport Ave Nw |
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City | Elk River |
State | Minnesota (MN) |
Post Code | 553304767 |
Phone Number | 7634411055 |
Fax Number | 7634417024 |
Provider's Primary Taxonomy Detail
Speciality | Corneal And Contact Management |
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Taxonomy | 152Wc0802X |
Definition: The professional activities performed by an Optometrist related to the fitting of contact lenses to an eye, ongoing evaluation of the cornea's ability to sustain successful contact lens wear, and treatment of any external eye or corneal condition whi |
Provider's Other Legacy Identifiers
Identifier | Identifier Type | Identifier State | Identifier Issuer |
---|---|---|---|
98-22038 | MN | MEDICA CLINIC NUMBER | |
115815 | MN | UCARE | |
52390HO | MN | BCBS | |
379314100 | MN | -- | |
81961 | MN | HEALTH PARTNERS | |
96458 | MN | PREFERRED ONE | |
5C159EL | MN | BCBS MATERIALS | |
CJ6982 | MN | RAILROAD MEDICARE | |
21-15856 | MN | MEDICA OPTICAL |
Post Comment/ Review Below
What is the unique 10-digit identification code issued to Elk River Eye Clinic, P.A. by the Centers for Medicare & Medicaid Services?
The Elk River Eye Clinic, P.A. has been assigned the NPI (National Provider Identifier) 1063457943 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for healthcare providers.
Could you please provide the complete street address where Elk River Eye Clinic, P.A. is physically located?
The Elk River Eye Clinic, P.A. is physically situated at the following address: 19022 Freeport Ave Nw, Elk River, MN, 553304767.
What is Elk River Eye Clinic, P.A.'s primary field of medical specialization, and what is the corresponding taxonomy classification code for this area of expertise?
The primary field of medical specialization for Elk River Eye Clinic, P.A. is Corneal And Contact Management, and the taxonomy classification code that categorizes this area of expertise is 152Wc0802X.
On what date did the Centers for Medicare & Medicaid Services originally issue the 1063457943 to Elk River Eye Clinic, P.A.?
The Centers for Medicare & Medicaid Services originally issued the 1063457943 to Elk River Eye Clinic, P.A. on 2006-06-17.
As of what date was the information regarding Elk River Eye Clinic, P.A., such as address, specialty, and other details, last verified and confirmed to be up-to-date?
The information related to Elk River Eye Clinic, P.A., including its address, specialty, and other relevant details, was last verified and confirmed to be up-to-date on 2010-08-06.