Eye Q Optometric Clinic, Limited in Grand Rapids - Eyewear Supplier

Eye Q Optometric Clinic, Limited - NPI 1245428135

Eye Q Optometric Clinic, Limited is a Eyewear Supplier in Grand Rapids, Minnesota. Eye Q Optometric Clinic, Limited practices all healthcare services and medical treatments related to Eyewear Supplier. The NPI Number for Eye Q Optometric Clinic, Limited is 1245428135. The last update date is 2016-05-24.

Eye Q Optometric Clinic, Limited's current location address is 201 Nw 4th St, Grand Rapids, Minnesota. You can contact this provider via phone number 2183269619. The mailing address for Eye Q Optometric Clinic, Limited is 201 Nw 4th St, Grand Rapids, Minnesota. To know further, please read the information below!

Provider Profile Detail

Provider Organization Eye Q Optometric Clinic, Limited
Address 201 Nw 4th St, Grand Rapids, Minnesota
Phone Number 2183269619
Fax Number
Sole Proprietor --
Credentials --

Authorized Official

Title or Position OWNER
Authorized Official Name Dalen Darwin
Telephone Number 2183269619

NPI Number Detail

NPI Number 1245428135
Provider Enumeration Date 2007-10-04
Last Updated Date 2016-05-24

Provider Mailing Address Detail

Address 201 Nw 4th St
City Grand Rapids
State Minnesota (MN)
Post Code 557442753
Phone Number 2183269619
Fax Number

Provider's Primary Taxonomy Detail

Speciality Eyewear Supplier
Taxonomy 332H00000X
Licence No 2529
Definition:
An organization that provides spectacles, contact lenses, and other vision enhancement devices prescribed by an optometrist or ophthalmologist.

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
U58324 MN RAILROAD MEDICARE
5C956EY MN BLUE CROSS BLUE SHIELD
1245428135 MN RAILROAD MEDICARE
C04933 MN RAILROAD MEDICARE PTAN
C04933 MN MEDICARE PTAN

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FAQs about Eye Q Optometric Clinic, Limited

What is the unique identification code assigned to Eye Q Optometric Clinic, Limited by the Centers for Medicare & Medicaid Services?

The Eye Q Optometric Clinic, Limited has been issued the NPI (National Provider Identifier) 1245428135. This 10-digit code serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).

Could you please share the complete physical location address where Eye Q Optometric Clinic, Limited's facilities are situated?

The facilities of Eye Q Optometric Clinic, Limited are physically located at the following address: 201 Nw 4Th St, Grand Rapids, MN, 557442753.

What is Eye Q Optometric Clinic, Limited's primary area of medical expertise, and what taxonomy classification code corresponds to this specialized field?

The primary area of medical expertise for Eye Q Optometric Clinic, Limited is Eyewear Supplier, and the corresponding taxonomy classification code for this specialized field is 332H00000X.

On what date did the Centers for Medicare & Medicaid Services originally issue the 1245428135 to Eye Q Optometric Clinic, Limited?

The Centers for Medicare & Medicaid Services originally issued the 1245428135 to Eye Q Optometric Clinic, Limited on 2007-10-04.

As of what date was the information regarding Eye Q Optometric Clinic, Limited, such as address, specialty, and other details, last verified and confirmed to be up-to-date?

The information related to Eye Q Optometric Clinic, Limited, including its address, specialty, and other relevant details, was last verified and confirmed to be up-to-date on 2016-05-24.

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