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MINNESOTA VISION GROUP NPI 1457414419


NPI Information

NPI: 1457414419
Provider Name: MINNESOTA VISION GROUP

Doing Business As: INSIGHT EYECARE

Classification: Durable Medical Equipment & Medical Supplies - 332B00000X
Entity Type: Organization

CLIA Number: 24D2021491

Address:
204 WASHBURNE AVE
PAYNESVILLE, MN
ZIP 56362
Phone: (320) 243-3566
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MINNESOTA VISION GROUP is a durable medical equipment medical supplies in Paynesville, MN. The provider is a supplier of medical equipment such as respirators, wheelchairs, home dialysis systems, or monitoring systems, that are prescribed by a physician for a patient's use in the home and that are usable for an extended period of time. MINNESOTA VISION GROUP NPI is 1457414419. The provider is registered as an organization entity type.
The provider Is Doing Business As Insight Eyecare.

The provider's business location address is:

204 WASHBURNE AVE
PAYNESVILLE, MN
ZIP 56362-643
Phone: (320) 243-3566
Fax: (320) 243-7104

The provider's authorized official is Greg J Friederichs .
The authorized official title is Owner and has the following contact phone number (320) 243-3566.

The CLIA number assigned to this NPI record is 24D2021491 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 12/19/2006 and was last updated on 11/29/2007.


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
1332B00000XDurable Medical Equipment & Medical Supplies2441MINNESOTAYes

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
10464710003MEDICARE NSCMINNESOTA

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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