St Croix Vision Center Inc. in Stillwater - Corneal And Contact Management
St Croix Vision Center Inc. - NPI 1518059526
St Croix Vision Center Inc. is a Corneal And Contact Management in Stillwater, Minnesota. St Croix Vision Center Inc. practices all healthcare services and medical treatments related to Corneal And Contact Management. The NPI Number for St Croix Vision Center Inc. is 1518059526. The last update date is 2012-08-16.
St Croix Vision Center Inc.'s current location address is 13481 60th St N, Stillwater, Minnesota. You can contact this provider via phone number 6514396400 and fax number 6514396405. The mailing address for St Croix Vision Center Inc. is 13481 60th St N, Stillwater, Minnesota. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | St Croix Vision Center Inc. |
|---|---|
| Address | 13481 60th St N, Stillwater, Minnesota |
| Phone Number | 6514396400 |
| Fax Number | 6514396405 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | PRESIDENT |
|---|---|
| Authorized Official Name | Johnson Matthew Travis |
| Credentials | O.D. |
| Telephone Number | 6514396400 |
NPI Number Detail
| NPI Number | 1518059526 |
|---|---|
| Provider Enumeration Date | 2006-09-28 |
| Last Updated Date | 2012-08-16 |
Provider Mailing Address Detail
| Address | 13481 60th St N |
|---|---|
| City | Stillwater |
| State | Minnesota (MN) |
| Post Code | 550821055 |
| Phone Number | 6514396400 |
| Fax Number | 6514396405 |
Provider's Primary Taxonomy Detail
| Speciality | Corneal And Contact Management |
|---|---|
| Taxonomy | 152Wc0802X |
| Licence No | LD2763000 |
|
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 |
|---|---|---|---|
| 108J4JO | MN | BLUE CROSS BLUE SHEILD GR | |
| 904623200 | MN | -- |
Post Comment/ Review Below
What is the St Croix Vision Center Inc.'s 1518059526?
The St Croix Vision Center Inc.'s NPI (National Provider Identifier) Number is 1518059526. This unique 10-digit identification number is assigned to health care providers by the Centers for Medicare & Medicaid Services (CMS).
Could you provide the complete physical address where St Croix Vision Center Inc. is located?
The St Croix Vision Center Inc. is situated at the following address: 13481 60Th St N, Stillwater, MN, 550821055.
What is St Croix Vision Center Inc.'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 St Croix Vision Center Inc. 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 1518059526 to St Croix Vision Center Inc.?
The Centers for Medicare & Medicaid Services originally issued the 1518059526 to St Croix Vision Center Inc. on 2006-09-28.
As of what date were the St Croix Vision Center Inc.'s details last updated?
The information pertaining to the St Croix Vision Center Inc., including its address, specialty, and other details, was most recently updated on 2012-08-16.
NPI Number: 1669475612
Address: 8906 Spanish Ridge Ave Ste 202, Las Vegas, NV
NPI Number: 1912900960
Address: 2350 N University Dr Unit 841423, Pembroke Pines, FL