Annandale Eye Clinic

LBN: Annandale Eye Clinic Inc
Annandale Eye Clinic is an health care organization with primary practice located at 500 Elm St E , Annandale MN 55302. The organization recently has only one registered license in Eye and Vision Services Providers / Optometrist, which is considered as the primary health care specialty. Annandale Eye Clinic Inc can be contacted via phone (320) 274-3701, or through Tancabel, Terrence Lee via phone (320) 274-3701.

Contact Information

Primary practice address
500 Elm St E Annandale MN 55302
Phone: (320) 274-3701
Fax: (320) 274-3784
Website:
Map and Directions
Authorized official contact:
Name: Tancabel, Terrence Lee Doctor of Optometry (OD)
Phone: (320) 274-3701

Health care specialties

SpecialtyCodeLicense #State
Eye and Vision Services Providers / Optometrist 152W00000X 1765 Minnesota

Profile Details

NPI number 1629148614
LBN Legal business name Annandale Eye Clinic Inc
DBA Doing business as Annandale Eye Clinic
Authorized official Tancabel, Terrence Lee Doctor of Optometry (OD)
Entity Organization
Organization subpart 1 No
Enumeration date Nov 8th, 2006
Last updated Aug 22nd, 2020 - about 6 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1629148614 NPPES
Minnesota Other 230R3TA BCBS

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