Charles R Mead
LBN: Charles R Mead
Charles R Mead is an health care organization with primary practice located at 1502 Woodlane Dr , Woodbury MN 55125-2221. The organization recently has 7 registered licenses in different health care specialties including Eye and Vision Services Providers / Optometrist, Eye and Vision Services Providers / Corneal and Contact Management, Eye and Vision Services Providers / Pediatrics, Eye and Vision Services Providers / Sports Vision, Eye and Vision Services Providers / Vision Therapy, Eye and Vision Services Providers / Optometric Technician, Eye and Vision Services Providers / Optician. Eye and Vision Services Providers / Optometrist is the primary health care specialty.
Charles R Mead can be contacted via phone (651) 735-9550, or through Mead, Audrey via phone (651) 735-9550.
Contact Information
Primary practice address
1502 Woodlane Dr
Woodbury MN 55125-2221
Phone: (651) 735-9550
Fax: (651) 735-9322
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Eye and Vision Services Providers / Optometrist | 152W00000X | ||
| Eye and Vision Services Providers / Corneal and Contact Management | 152WC0802X | ||
| Eye and Vision Services Providers / Pediatrics | 152WP0200X | ||
| Eye and Vision Services Providers / Sports Vision | 152WS0006X | ||
| Eye and Vision Services Providers / Vision Therapy | 152WV0400X | ||
| Eye and Vision Services Providers / Optometric Technician | 156FX1202X | ||
| Eye and Vision Services Providers / Optician | 156FX1800X |
Profile Details
| NPI number | 1306161187 |
|---|---|
| LBN Legal business name | Charles R Mead |
| DBA Doing business as | |
| Authorized official | Mead, Audrey |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | Apr 5th, 2010 |
| Last updated | Apr 2nd, 2018 - about 7 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1306161187 | NPPES |
| Minnesota | Other | 97365062201 | PREFERREDONE |
| Minnesota | Other | 25841ME | PREFERREDONE |
| Minnesota | MEDICAID | 568938300 | PREFERREDONE |
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