Organization Name: | MIDWEST VISION CENTERS INC |
NPI Number: | 1306918024 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | PATRICE ANN LOSO (INSURANCE COORDINATOR) |
Mailing Address: | 211 Labree Ave N Thief River Falls |
State: | MN US |
Postal Code: | 567012034 |
Phone Number: | 2186815606 |
Fax Number: | 2186815609 |
NPI Enumeration Date: | 11/15/2006 |
NPI Last Update Date: | 01/09/2008 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 156FX1800X |
License Number: | |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | |
Taxonomy Type: | Eye and Vision Services Providers |
Taxonomy Classification: | Technician/Technologist |
Taxonomy Specialization: | Optician |
Taxonomy Definition: |