Eye Care Center

LBN: Optometric Eye Care Centers, P.A.
Eye Care Center is an health care organization with primary practice located at 1202 Moore Lake Dr E , Fridley MN 55432-5170. The organization recently has only one registered license in Eye and Vision Services Providers / Optometrist, which is considered as the primary health care specialty. Optometric Eye Care Centers, P.A. can be contacted via phone (763) 567-0075, or through Kraupa, Gregory W via phone (763) 574-0075.

Contact Information

Primary practice address
1202 Moore Lake Dr E Fridley MN 55432-5170
Phone: (763) 567-0075
Fax: (763) 574-0594
Website:
Map and Directions
Authorized official contact:
Name: Kraupa, Gregory W Doctor of Optometry (OD)
Phone: (763) 574-0075

Health care specialties

SpecialtyCodeLicense #State
Eye and Vision Services Providers / Optometrist 152W00000X 1635 Minnesota

Profile Details

NPI number 1548356595
LBN Legal business name Optometric Eye Care Centers, P.A.
DBA Doing business as Eye Care Center
Authorized official Kraupa, Gregory W Doctor of Optometry (OD)
Entity Organization
Organization subpart 1 No
Enumeration date Oct 5th, 2006
Last updated Apr 8th, 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 1548356595 NPPES
Minnesota MEDICAID 367822900
Minnesota Other 08073KR

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