Blue Earth Valley Eye Clinic Ltd | |
435 S Grove St Blue Earth MN 56013-2604 | |
(507) 526-2222 | |
(507) 526-3927 |
Full Name | Blue Earth Valley Eye Clinic Ltd |
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Speciality | Clinic/Center |
Location | 435 S Grove St, Blue Earth, Minnesota |
Authorized Official Name and Position | Brent Daniel Johnson (PRESIDENT) |
Authorized Official Contact | 5075262222 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Blue Earth Valley Eye Clinic Ltd Po Box 36 Blue Earth MN 56013-0036 Ph: (507) 526-2222 | Blue Earth Valley Eye Clinic Ltd 435 S Grove St Blue Earth MN 56013-2604 Ph: (507) 526-2222 |
NPI Number | 1518950708 |
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Provider Enumeration Date | 08/24/2005 |
Last Update Date | 08/22/2020 |
Medicare PECOS PAC ID | 4688691033 |
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Medicare Enrollment ID | O20051026000047 |
Identifier | Type | State | Issuer |
---|---|---|---|
1518950708 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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261Q00000X | Clinic/center | (* (Not Available)) | Primary |
Provider Name | Brent Daniel Johnson |
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Provider Type | Practitioner - Optometry |
Provider Identifiers | NPI Number: 1689667875 PECOS PAC ID: 2860419215 Enrollment ID: I20051028000100 |
Provider Name | Brittany Nita Fox |
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Provider Type | Practitioner - Optometry |
Provider Identifiers | NPI Number: 1568811040 PECOS PAC ID: 4587955109 Enrollment ID: I20160628002924 |
United Clinics Of Faribault County Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 435 S Grove St Ste 1, Blue Earth, MN 56013 Phone: 507-526-7388 |