BRADLEY W NEUJAHR OD PA NPI 1558350678

NPI Information

  • NPI: 1558350678
  • Provider Name: BRADLEY W NEUJAHR OD PA
  • Classification: Optometrist - 152W00000X
  • Entity Type: Organization
  • Doing Business As: NORTHWEST EYE CENTER
  • Address: 14 2ND ST NE
    BAGLEY, MN
    ZIP 56621
  • Phone: (218) 694-2442

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NPI Details

BRADLEY W NEUJAHR OD PA is an optometrist in Bagley, MN. The provider is doctors of optometry (ODs) are the primary health care professionals for the eye. Optometrists examine, diagnose, treat, and manage diseases, injuries, and disorders of the visual system, the eye, and associated structures as well as identify related systemic conditions affecting the eye. An optometrist has completed pre-professional undergraduate education in a college or university and four years of professional education at a college of optometry, leading to the doctor of optometry (O.D.) degree. Some optometrists complete an optional residency in a specific area of practice. Optometrists are eye health care professionals state-licensed to diagnose and treat diseases and disorders of the eye and visual system. BRADLEY W NEUJAHR OD PA NPI is 1558350678. The provider is registered as an organization entity type and is a single specialty group.
The provider Is Doing Business As Northwest Eye Center.

The provider's business location address is:

14 2ND ST NE
BAGLEY, MN
ZIP 56621
Phone: (218) 694-2442
Fax: (218) 694-2446

The provider's authorized official is Bradley Wayne Neujahr .
The authorized official title is Ceo Owner and has the following contact phone number (218) 694-2442.

The enumeration date for this NPI number is 10/20/2005 and was last updated on 11/24/2008.

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
1152W00000XOptometrist1892MINNESOTAYes

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
12100013OTHERMINNESOTAMEDICA
22224062OTHERMINNESOTAMEDICA
3419000918MEDICARE ID-TYPE UNSPECIFIEDMINNESOTA
483340NEOTHERMINNESOTABLUE PLUS
508298OTHERMINNESOTAMETRO HEALTH
6410027728OTHERMINNESOTAMEDICARE RAILROAD
742B91NEOTHERMINNESOTABLUE PLUS OPTICAL
80221320001MEDICARE NSCMINNESOTA
9T65923MEDICARE UPIN
1082043NEOTHERMINNESOTABLUE PLUS
11137823600MEDICAIDMINNESOTA

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: 3/30/2025

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