St Anthony Optometric Clinic in St Anthony - Primary Care
St Anthony Optometric Clinic - NPI 1205953437
St Anthony Optometric Clinic is a Primary Care in St Anthony, Minnesota. St Anthony Optometric Clinic practices all healthcare services and medical treatments related to Primary Care. The NPI Number for St Anthony Optometric Clinic is 1205953437. The last update date is 2020-08-22.
St Anthony Optometric Clinic's current location address is 2929 Pentagon Dr, St Anthony, Minnesota. You can contact this provider via phone number 6127814730 and fax number 6127062337. The mailing address for St Anthony Optometric Clinic is 2929 Pentagon Dr, St Anthony, Minnesota. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | St Anthony Optometric Clinic |
|---|---|
| Address | 2929 Pentagon Dr, St Anthony, Minnesota |
| Phone Number | 6127814730 |
| Fax Number | 6127062337 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | PRESIDENT |
|---|---|
| Authorized Official Name | Hanson Jeffrey Todd |
| Credentials | OD |
| Telephone Number | 6127814730 |
NPI Number Detail
| NPI Number | 1205953437 |
|---|---|
| Provider Enumeration Date | 2007-03-23 |
| Last Updated Date | 2020-08-22 |
Provider Mailing Address Detail
| Address | 2929 Pentagon Dr |
|---|---|
| City | St Anthony |
| State | Minnesota (MN) |
| Post Code | 554183208 |
| Phone Number | 6127814730 |
| Fax Number | 6127062337 |
Provider's Primary Taxonomy Detail
| Speciality | Primary Care |
|---|---|
| Taxonomy | 261Qp2300X |
| Licence No | 2443 |
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Definition: Serves as the first point of contact for comprehensive healthcare services. |
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Post Comment/ Review Below
What is the unique identifier code issued to St Anthony Optometric Clinic by the Centers for Medicare & Medicaid Services (CMS)?
The St Anthony Optometric Clinic has been assigned the NPI (National Provider Identifier) 1205953437. This 10-digit code serves as a unique identification number for healthcare providers, issued by the CMS.
Could you please share the complete physical location address where St Anthony Optometric Clinic's facilities are situated?
The facilities of St Anthony Optometric Clinic are physically located at the following address: 2929 Pentagon Dr, St Anthony, MN, 554183208.
What is St Anthony Optometric Clinic's primary area of medical expertise, and what taxonomy classification code corresponds to this specialized field?
The primary area of medical expertise for St Anthony Optometric Clinic is Primary Care, and the corresponding taxonomy classification code for this specialized field is 261Qp2300X.
On what date did the St Anthony Optometric Clinic receive the assignment of its 1205953437 from the Centers for Medicare & Medicaid Services?
The St Anthony Optometric Clinic was issued its 1205953437 by the Centers for Medicare & Medicaid Services on 2007-03-23.
When was the information related to St Anthony Optometric Clinic most recently updated or refreshed?
The details pertaining to the St Anthony Optometric Clinic, including its address, specialty, and other relevant information, were last updated or refreshed on 2020-08-22.
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