| Eye Care Associates Of Faribault | |
|
112 4th St Nw Faribault MN 55021-5101 | |
| (507) 334-0011 | |
| (507) 331-0012 |
| Full Name | Eye Care Associates Of Faribault |
|---|---|
| Speciality | Clinic/center |
| Location | 112 4th St Nw, Faribault, Minnesota |
| Authorized Official Name and Position | David E Malmanger (OPTOMETRIST/OWNER) |
| Authorized Official Contact | 5073340011 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Eye Care Associates Of Faribault Po Box 575 Faribault MN 55021-0575 Ph: (507) 334-0011 | Eye Care Associates Of Faribault 112 4th St Nw Faribault MN 55021-5101 Ph: (507) 334-0011 |
| NPI Number | 1700029790 |
|---|---|
| Provider Enumeration Date | 04/07/2009 |
| Last Update Date | 04/07/2009 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1700029790 | NPI | - | NPPES |
| 099223200 | Medicaid | MN |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261Q00000X | Clinic/center | 2204 (Minnesota) | Primary |
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Northfield Hospital & Clinics - Faribault Clinic Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 1980 30th St Nw, Faribault, MN 55021 Phone: 507-333-5499 |