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Organization
RIVER VALLEY EYE ASSOCIATES INC.
Active
Organization
RIVER VALLEY EYE ASSOCIATES INC.
Active
Other names
River Valley Eye Professionals
Organization subpart
No
Provider details
NPI number
Authorized official
DR. PATRICK O'NEILL O.D. (OWNER)
(507) 645-9202
Entity
Organization
Contact information
Practice address
2019 JEFFERSON RD, SUITE B, NORTHFIELD, MN 55057-3258
(507) 645-2020
(507) 645-9203
Mailing address
2019 JEFFERSON RD, SUITE B, NORTHFIELD, MN 55057-3258
(507) 645-2020
(507) 645-9203
Taxonomy
Speciality
Code
Description
License number
State
332H00000X
Eyewear Supplier
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
21-00444
MEDICA
MN
05
—
313638800
—
MN
01
—
367R8NO
BLUE CROSS BLUE SHIELD
MN
Enumeration date
10/04/2006
Last updated
01/17/2013
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