Total Eye Care Pa in Burnsville - Clinic/center

Total Eye Care Pa - NPI 1407955420

Total Eye Care Pa is a Clinic/center in Burnsville, Minnesota. Total Eye Care Pa practices all healthcare services and medical treatments related to Clinic/center. The NPI Number for Total Eye Care Pa is 1407955420. The last update date is 2015-05-20.

Total Eye Care Pa's current location address is 116 Krestwood Drive, Burnsville, Minnesota. You can contact this provider via phone number 9522231270. The mailing address for Total Eye Care Pa is 116 Krestwood Drive, Burnsville, Minnesota. To know further, please read the information below!

Provider Profile Detail

Provider Organization Total Eye Care Pa
Address 116 Krestwood Drive, Burnsville, Minnesota
Phone Number 9522231270
Fax Number
Sole Proprietor --
Credentials --

Authorized Official

Title or Position PRESIDENT
Authorized Official Name Anderson Bruce Jeff
Credentials O.D.
Telephone Number 9523817611

NPI Number Detail

NPI Number 1407955420
Provider Enumeration Date 2006-09-22
Last Updated Date 2015-05-20

Provider Mailing Address Detail

Address 116 Krestwood Drive
City Burnsville
State Minnesota (MN)
Post Code 55337
Phone Number 9522231270
Fax Number

Provider's Primary Taxonomy Detail

Speciality Clinic/center
Taxonomy 261Q00000X
Licence No 2956
Definition:
A facility or distinct part of one used for the diagnosis and treatment of outpatients. "Clinic/Center" is irregularly defined, sometimes being limited to organizations serving specialized treatment requirements or distinct patient/client groups (e.g

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
2202941 MN MEDICA
2202818 MN MEDICA
979851041639 MN PERFERRED ONE
2203374 MN MEDICA
478947400 MN MINNESOTA HEALTH CARE
328M9AN MN BLUE CROSS BLUE SHIELD

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FAQs about Total Eye Care Pa

What is the Total Eye Care Pa's 1407955420?

The Total Eye Care Pa's NPI (National Provider Identifier) Number is 1407955420. This unique 10-digit identification number is assigned to health care providers by the Centers for Medicare & Medicaid Services (CMS).

Could you share the physical location details of Total Eye Care Pa?

The Total Eye Care Pa is situated at 116 Krestwood Drive, in the city of Burnsville, state of MN, with the zip code 55337.

What is Total Eye Care Pa's specialized field of practice, and what is the corresponding taxonomy code that categorizes this area of expertise?

The area of specialization for Total Eye Care Pa is Clinic/center, and the taxonomy code that classifies this field of practice is 261Q00000X.

On what date did the Centers for Medicare & Medicaid Services originally issue the 1407955420 to Total Eye Care Pa?

The Centers for Medicare & Medicaid Services originally issued the 1407955420 to Total Eye Care Pa on 2006-09-22.

As of what date was the information pertaining to Total Eye Care Pa, such as address, specialty, and other details, last reviewed and confirmed to be accurate?

The information related to Total Eye Care Pa, including its address, specialty, and other relevant details, was last reviewed and confirmed to be accurate on 2015-05-20.

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