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TOTAL EYE CARE PA NPI 1407955420


NPI Information

NPI: 1407955420
Provider Name: TOTAL EYE CARE PA
Classification: Clinic/Center - 261Q00000X
Entity Type: Organization
Address:
3035 DENMARK AVE
EAGAN, MN
ZIP 55121
Phone: (651) 405-0963
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TOTAL EYE CARE PA is a clinic center in Eagan, MN. The provider is a facility or distinct part of one used for the diagnosis and treatment of outpatients. Clinic/Center is irregularly defined, sometimes being limited to organizations serving specialized treatment requirements or distinct patient/client groups (e.g., radiology, poor, and public health). TOTAL EYE CARE PA NPI is 1407955420. The provider is registered as an organization entity type.

The provider's business location address is:

3035 DENMARK AVE
EAGAN, MN
ZIP 55121-257
Phone: (651) 405-0963
Fax: (763) 746-2096

The provider's authorized official is Jeff Bruce Anderson .
The authorized official title is President and has the following contact phone number (952) 381-7611.

The enumeration date for this NPI number is 9/22/2006 and was last updated on 5/20/2015.


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 Number License State Primary
1261Q00000XClinic/Center2956MINNESOTAYes

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 Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
1328M9ANOTHERMINNESOTABLUE CROSS BLUE SHIELD
2=========OTHERMINNESOTAAETNA
3C04013MEDICARE PINMINNESOTA
42202818OTHERMINNESOTAMEDICA
52202941OTHERMINNESOTAMEDICA
6979851041639OTHERMINNESOTAPERFERRED ONE
7478947400OTHERMINNESOTAMINNESOTA HEALTH CARE
82203374OTHERMINNESOTAMEDICA
9=========OTHERMINNESOTAUNITED HEALTH CARE
10=========OTHERMINNESOTASELECT CARE
11410002447MEDICARE 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: 5/5/2024

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