| |
1400 Hwy 71, International Falls, MN 56649-2189 | |
(218) 598-5665 | |
(218) 598-5329 |
Full Name | |
---|---|
Type | Facility |
Speciality | Eyewear Supplier |
Location | 1400 Hwy 71, International Falls, Minnesota |
Accepts Medicare Assignments | Does not participate in Medicare Program. The facility may not accept medicare assignment. |
Identifier | Type | State | Issuer |
---|---|---|---|
1013334457 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
152W00000X | Optometrist | (* (Not Available)) | Secondary |
207W00000X | Ophthalmology | (* (Not Available)) | Secondary |
332H00000X | Eyewear Supplier | (* (Not Available)) | Primary |
Mailing Address | Practice Location Address |
---|---|
Po Box 5074, Sioux Falls, SD 57117-5074 Ph: (605) 328-6585 | 1400 Hwy 71, International Falls, MN 56649-2189 Ph: (218) 598-5665 |