Fergus Falls Optometric Center, Ltd

LBN: Fergus Falls Optometric Center, Ltd
Fergus Falls Optometric Center, Ltd is an health care organization with primary practice located at 117 E Lincoln Ave , Fergus Falls MN 56537-2216. The organization recently has only one registered license in Eye and Vision Services Providers / Optometrist, which is considered as the primary health care specialty. Fergus Falls Optometric Center, Ltd can be contacted via phone (218) 736-7555, or through Olmsted, Mark Duane via phone (218) 736-7555.

Contact Information

Primary practice address
117 E Lincoln Ave Fergus Falls MN 56537-2216
Phone: (218) 736-7555
Fax: (218) 739-6586
Website:
Map and Directions
Authorized official contact:
Name: Olmsted, Mark Duane Doctor of Optometry (OD)
Phone: (218) 736-7555

Health care specialties

SpecialtyCodeLicense #State
Eye and Vision Services Providers / Optometrist 152W00000X 2099 Minnesota

Profile Details

NPI number 1073698601
LBN Legal business name Fergus Falls Optometric Center, Ltd
DBA Doing business as
Authorized official Olmsted, Mark Duane Doctor of Optometry (OD)
Entity Organization
Organization subpart 1 No
Enumeration date Oct 25th, 2006
Last updated Jun 26th, 2008 - about 18 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 1073698601 NPPES
Minnesota MEDICAID 185787800
Minnesota Other 47844FE

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