S SJOBERG PLC NPI 1023424926

NPI Information

NPI: 1023424926
Provider Name: S SJOBERG PLC

Doing Business As: GREAT RIVER EYE CLINIC

Classification: Clinic/Center - 261QH0100X
Entity Type: Organization

Specialization: Health Service

Address:
1 3RD AVE NE
CROSBY, MN
ZIP 56441
Phone: (218) 546-5108
Get Directions

S SJOBERG PLC is a health service clinic center in Crosby, MN. S SJOBERG PLC NPI is 1023424926. The provider is registered as an organization entity type and is a multi-specialty group.
The provider Is Doing Business As Great River Eye Clinic.

The provider's business location address is:

1 3RD AVE NE
CROSBY, MN
ZIP 56441-665
Phone: (218) 546-5108
Fax: (218) 546-5736

The provider's authorized official is Stacy Ann Sjoberg .
The authorized official title is Owner and has the following contact phone number (218) 546-5108.

The enumeration date for this NPI number is 7/11/2014 and was last updated on 8/23/2021.

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 Code	Taxonomy Clasification	Taxonomy Specialization	License State	Primary
1	152W00000X	Optometrist			No
2	152WC0802X	Optometrist	Corneal and Contact Management		No
3	152WL0500X	Optometrist	Low Vision Rehabilitation		No
4	152WP0200X	Optometrist	Pediatrics		No
5	152WS0006X	Optometrist	Sports Vision		No
6	152WV0400X	Optometrist	Vision Therapy		No
7	152WX0102X	Optometrist	Occupational Vision		No
8	261QH0100X	Clinic/Center	Health Service	MINNESOTA	Yes

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: 5/5/2024

NPI Synchronization or Removal

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