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LUFKIN EYE CLINIC PA NPI 1386740637


NPI Information

NPI: 1386740637
Provider Name: LUFKIN EYE CLINIC PA
Classification: Ophthalmology - 207W00000X
Entity Type: Organization
Address:
280 SMITH AVE N
#400
SAINT PAUL, MN
ZIP 55102
Phone: (651) 292-8200
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LUFKIN EYE CLINIC PA is an ophthalmology in Saint Paul, MN. The provider is an ophthalmologist has the knowledge and professional skills needed to provide comprehensive eye and vision care. Ophthalmologists are medically trained to diagnose, monitor and medically or surgically treat all ocular and visual disorders. This includes problems affecting the eye and its component structures, the eyelids, the orbit and the visual pathways. In so doing, an ophthalmologist prescribes vision services, including glasses and contact lenses. LUFKIN EYE CLINIC PA NPI is 1386740637. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

280 SMITH AVE N
#400
SAINT PAUL, MN
ZIP 55102-424
Phone: (651) 292-8200
Fax: (651) 292-1801

The provider's authorized official is Diane Sione Tanabe .
The authorized official title is Owner President and has the following contact phone number (651) 292-8200.

The enumeration date for this NPI number is 9/15/2006 and was last updated on 4/27/2017.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1207W00000XOphthalmologyYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
125312LUOTHERMINNESOTAMN BLUE CROSS
2608512100MEDICAIDMINNESOTA
3C00744MEDICARE ID-TYPE UNSPECIFIEDMINNESOTA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

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