Prodigy Optical, Inc in Richmond - Eyewear Supplier
Prodigy Optical, Inc - NPI 1457549800
Prodigy Optical, Inc is a Eyewear Supplier in Richmond, Minnesota. Prodigy Optical, Inc practices all healthcare services and medical treatments related to Eyewear Supplier. The NPI Number for Prodigy Optical, Inc is 1457549800. The last update date is 2007-10-11.
Prodigy Optical, Inc's current location address is 314 Ivy Ave Se, Richmond, Minnesota. You can contact this provider via phone number 3205975252 and fax number 3205975250. The mailing address for Prodigy Optical, Inc is 314 Ivy Ave Se, Richmond, Minnesota. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Prodigy Optical, Inc |
|---|---|
| Address | 314 Ivy Ave Se, Richmond, Minnesota |
| Phone Number | 3205975252 |
| Fax Number | 3205975250 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | OWNER |
|---|---|
| Authorized Official Name | Wojtanowicz Diane |
| Telephone Number | 3205975252 |
NPI Number Detail
| NPI Number | 1457549800 |
|---|---|
| Provider Enumeration Date | 2007-10-11 |
| Last Updated Date | 2007-10-11 |
Provider Mailing Address Detail
| Address | 314 Ivy Ave Se |
|---|---|
| City | Richmond |
| State | Minnesota (MN) |
| Post Code | 563684509 |
| Phone Number | 3205975252 |
| Fax Number | 3205975250 |
Provider's Primary Taxonomy Detail
| Speciality | Eyewear Supplier |
|---|---|
| Taxonomy | 332H00000X |
|
Definition: An organization that provides spectacles, contact lenses, and other vision enhancement devices prescribed by an optometrist or ophthalmologist. |
|
Post Comment/ Review Below
What is the unique identifier code issued to Prodigy Optical, Inc by the Centers for Medicare & Medicaid Services?
The Prodigy Optical, Inc has been assigned the NPI (National Provider Identifier) 1457549800. This 10-digit code serves as a unique identification number for healthcare providers issued by the Centers for Medicare & Medicaid Services (CMS).
Could you please share the complete physical location address where Prodigy Optical, Inc's facilities are situated?
The facilities of Prodigy Optical, Inc are physically located at the following address: 314 Ivy Ave Se, Richmond, MN, 563684509.
What is Prodigy Optical, Inc's specialized area of practice, and what is the corresponding taxonomy classification code for this field?
The Prodigy Optical, Inc's specialized field of practice is Eyewear Supplier, and the corresponding taxonomy code that categorizes this area of specialization is 332H00000X.
On what date did the Prodigy Optical, Inc receive the assignment of its 1457549800 from the Centers for Medicare & Medicaid Services?
The Prodigy Optical, Inc was issued its 1457549800 by the Centers for Medicare & Medicaid Services on 2007-10-11.
As of what date was the information regarding Prodigy Optical, Inc, such as address, specialty, and other details, last verified and confirmed to be up-to-date?
The information related to Prodigy Optical, Inc, including its address, specialty, and other relevant details, was last verified and confirmed to be up-to-date on 2007-10-11.
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