Pine Eye Associates

LBN: Pine Eye Associates, Pa
Pine Eye Associates is an health care organization with primary practice located at 110 Evergreen Square , Pine City MN 55063. The organization recently has only one registered license in Eye and Vision Services Providers / Optometrist, which is considered as the primary health care specialty. Pine Eye Associates, Pa can be contacted via phone (320) 629-7262, or through Iverson, Kristi A via phone (320) 629-7262.

Contact Information

Primary practice address
110 Evergreen Square Pine City MN 55063
Phone: (320) 629-7262
Fax: (320) 629-7789
Website:
Map and Directions
Authorized official contact:
Name: Iverson, Kristi A Doctor of Optometry (OD)
Phone: (320) 629-7262

Health care specialties

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

Profile Details

NPI number 1851324313
LBN Legal business name Pine Eye Associates, Pa
DBA Doing business as Pine Eye Associates
Authorized official Iverson, Kristi A Doctor of Optometry (OD)
Entity Organization
Organization subpart 1 No
Enumeration date Jul 8th, 2006
Last updated Mar 12th, 2009 - about 17 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 1851324313 NPPES
Minnesota MEDICAID 644731700

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