Courtney Ray Sivertson in Rochester - Optometrist
Courtney Ray Sivertson - NPI 1114948734
Courtney Ray Sivertson is a Optometrist in Rochester, Minnesota. Courtney Ray Sivertson practices all healthcare services and medical treatments related to Optometrist. The NPI Number for Courtney Ray Sivertson is 1114948734. The last update date is 2012-07-19.
Courtney Ray Sivertson's current location address is 3632 10th Ln Nw, Rochester, Minnesota. You can contact this provider via phone number 5072827121. The mailing address for Courtney Ray Sivertson is 3632 10th Ln Nw, Rochester, Minnesota. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Courtney Ray Sivertson |
|---|---|
| Address | 3632 10th Ln Nw, Rochester, Minnesota |
| Phone Number | 5072827121 |
| Fax Number | |
| Sole Proprietor | N |
| Credentials | O.D. |
NPI Number Detail
| NPI Number | 1114948734 |
|---|---|
| Provider Enumeration Date | 2006-07-21 |
| Last Updated Date | 2012-07-19 |
Provider Mailing Address Detail
| Address | 3632 10th Ln Nw |
|---|---|
| City | Rochester |
| State | Minnesota (MN) |
| Post Code | 559017032 |
| Phone Number | 5072827121 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Optometrist |
|---|---|
| Taxonomy | 152W00000X |
| Licence No | 6246453-9934 |
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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 |
|---|---|---|---|
| 09Y98SI | MN | BLUE CROSS BLUE SHIELD | |
| 09Y99LI | MN | BLUE CROSS BLUE SHIELD | |
| 39797WE | MN | BLUE CROSS BLUE SHIELD | |
| 916891050630 | MN | PREFERRED ONE | |
| HP77005 | MN | HEALTH PARTNERS | |
| 09Y96LI | MN | BLUE CROSS BLUE SHIELD | |
| 411898525 | MN | HUMANA | |
| 6C464AN | MN | BLUE CROSS BLUE SHIELD | |
| 138801 | MN | UCARE | |
| 628A8SI | MN | BLUE CROSS BLUE SHIELD |
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What is the unique 10-digit identification code issued to Courtney Ray Sivertson by the Centers for Medicare & Medicaid Services?
The Courtney Ray Sivertson has been assigned the NPI (National Provider Identifier) 1114948734 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 address where Courtney Ray Sivertson is geographically located?
The Courtney Ray Sivertson is physically situated at the following location: 3632 10Th Ln Nw, Rochester, MN, 559017032.
What is Courtney Ray Sivertson's area of specialization, and what is the corresponding taxonomy classification code for this field of practice?
The specialized area of practice for Courtney Ray Sivertson is Optometrist, and the taxonomy code that categorizes this field of expertise is 152W00000X.
On what date was the 1114948734 assigned to Courtney Ray Sivertson?
The Courtney Ray Sivertson was issued its 1114948734 on 2006-07-21, which is the date when this unique identifier was assigned to the organization by the Centers for Medicare & Medicaid Services.
When was the Courtney Ray Sivertson's information last updated?
The Courtney Ray Sivertson's information was last updated on 2012-07-19.
NPI Number: 1932102142
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