| |
7962 Sunwood Dr Nw, Suite 300, Ramsey, MN 55303-4767 | |
(763) 323-7115 | |
(763) 323-7117 |
Full Name | |
---|---|
Type | Facility |
Speciality | Optometrist |
Location | 7962 Sunwood Dr Nw, Ramsey, Minnesota |
Accepts Medicare Assignments | Does not participate in Medicare Program. The facility may not accept medicare assignment. |
Identifier | Type | State | Issuer |
---|---|---|---|
1700921517 | NPI | - | NPPES |
B1163 | Other | MN | PREFERRED ONE CLINIC # |
119560 | Other | MN | HEALTH PARTNERS |
21-00737 | Other | MN | MEDICA CLINIC NUMBER |
613K8RA | Other | MN | BCBS CLINIC NUMBER |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
152W00000X | Optometrist | 2768 (Minnesota) | Primary |
152W00000X | Optometrist | 2917 (Minnesota) | Secondary |
Mailing Address | Practice Location Address |
---|---|
7962 Sunwood Dr Nw, Suite 300, Ramsey, MN 55303-4767 Ph: (763) 323-7115 | 7962 Sunwood Dr Nw, Suite 300, Ramsey, MN 55303-4767 Ph: (763) 323-7115 |