Granite City Family Eye Care Pa

LBN: Granite City Family Eye Care Pa
Granite City Family Eye Care Pa is an health care organization with primary practice located at 414 Great Oak Dr , Waite Park MN 56387-2504. The organization recently has only one registered license in Eye and Vision Services Providers / Optometrist, which is considered as the primary health care specialty. Granite City Family Eye Care Pa can be contacted via phone (320) 251-8061, or through Hofer, Rebecca J via phone (320) 251-8061.

Contact Information

Primary practice address
414 Great Oak Dr Waite Park MN 56387-2504
Phone: (320) 251-8061
Fax: (320) 202-8031
Website:
Map and Directions
Authorized official contact:
Name: Hofer, Rebecca J Doctor of Optometry (OD)
Phone: (320) 251-8061

Health care specialties

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

Profile Details

NPI number 1538363478
LBN Legal business name Granite City Family Eye Care Pa
DBA Doing business as
Authorized official Hofer, Rebecca J Doctor of Optometry (OD)
Entity Organization
Organization subpart 1 No
Enumeration date Jun 13th, 2007
Last updated Mar 7th, 2023 - about 3 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 1538363478 NPPES
Minnesota MEDICAID 410002837
Minnesota Other 1710903562
Minnesota Other V07233

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