Fleck, Byron K

Fleck, Byron K is an sole proprietor health care provider with primary practice located at 4740 Mall Drive , Hermantown MN 55811. He recently has only one registered license in Eye and Vision Services Providers / Corneal and Contact Management, which is considered as his primary health care specialty. Fleck, Byron K can be contacted via phone (218) 727-1204.

Contact Information

Primary practice address
4740 Mall Drive Hermantown MN 55811
Phone: (218) 727-1204
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Eye and Vision Services Providers / Corneal and Contact Management 152WC0802X 2733 Minnesota
Eye and Vision Services Providers / Corneal and Contact Management 152WC0802X 2788-035 Wisconsin

Profile Details

NPI number 1275626731
LBN Legal business name Fleck, Byron K
Credentials Doctor of Optometry (OD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Oct 2nd, 2006
Last updated Aug 13th, 2008 - about 17 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1275626731 NPPES
Wisconsin Other B25851028756 PREFERRED ONE
Wisconsin Other 16525 PREFERRED ONE
Wisconsin Other 37832 PREFERRED ONE
Wisconsin Other 647819 PREFERRED ONE
Wisconsin Other 128886 PREFERRED ONE
Wisconsin Other 22-03394 PREFERRED ONE
Wisconsin Other 22-03395 PREFERRED ONE
Wisconsin Other 647819 PREFERRED ONE
Wisconsin Other B25861028756 PREFERRED ONE
Wisconsin Other 43076 PREFERRED ONE
Wisconsin Other 37024 PREFERRED ONE
Wisconsin Other 53M11FL PREFERRED ONE

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