Organization Name: | OPHTHALMOLOGY ASSOCIATES OF MANKATO |
NPI Number: | 1518959121 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | MANDI J NELSON (OPTICAL MANAGER) |
Mailing Address: | 1630 Adams St Mankato |
State: | MN US |
Postal Code: | 560014801 |
Phone Number: | 5076252020 |
Fax Number: | 5073889962 |
NPI Enumeration Date: | 08/19/2005 |
NPI Last Update Date: | 11/25/2013 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 332B00000X |
License Number: | |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | MN |
Taxonomy Type: | Suppliers |
Taxonomy Classification: | Durable Medical Equipment & Medical Supplies |
Taxonomy Specialization: | |
Taxonomy Definition: | A supplier of medical equipment such as respirators, wheelchairs, home dialysis systems, or monitoring systems, that are prescribed by a physician for a patient |