Azure Vision Care

LBN: Minnesota Eyecare Network, Inc
Azure Vision Care is an health care organization with primary practice located at 20 S Broadway , Pelican Rapids MN 56572-0474. The organization recently has only one registered license in Eye and Vision Services Providers / Optometrist, which is considered as the primary health care specialty. Minnesota Eyecare Network, Inc can be contacted via phone (218) 863-7061, or through Neitzke, Timothy C via phone (218) 346-3310.

Contact Information

Primary practice address
20 S Broadway Pelican Rapids MN 56572-0474
Phone: (218) 863-7061
Fax: (218) 863-7062
Website:
Map and Directions
Authorized official contact:
Name: Neitzke, Timothy C Doctor of Optometry (OD)
Phone: (218) 346-3310

Health care specialties

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

Profile Details

NPI number 1457465296
LBN Legal business name Minnesota Eyecare Network, Inc
DBA Doing business as Azure Vision Care
Authorized official Neitzke, Timothy C Doctor of Optometry (OD)
Entity Organization
Organization subpart 1 No
Enumeration date Aug 18th, 2006
Last updated Jun 5th, 2015 - about 11 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 1457465296 NPPES
Minnesota MEDICAID 389558100
Minnesota MEDICAID 541525000

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