Centracare Eye Center | |
2000 23rd St S Sartell MN 56377-4765 | |
(320) 229-5120 | |
(320) 200-3235 |
Full Name | Centracare Eye Center |
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Speciality | Clinic/Center |
Location | 2000 23rd St S, Sartell, Minnesota |
Authorized Official Name and Position | Michael A Blair (SR VP & CFO) |
Authorized Official Contact | 3202555665 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Centracare Eye Center 1200 6th Ave N Saint Cloud MN 56303-2735 Ph: () - | Centracare Eye Center 2000 23rd St S Sartell MN 56377-4765 Ph: (320) 229-5120 |
NPI Number | 1780125849 |
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Provider Enumeration Date | 03/09/2017 |
Last Update Date | 11/19/2020 |
Medicare PECOS PAC ID | 2466363395 |
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Medicare Enrollment ID | O20170706003049 |
Identifier | Type | State | Issuer |
---|---|---|---|
1780125849 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
261QM1300X | Clinic/center - Multi-specialty | (* (Not Available)) | Primary |
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