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Organization
MESABI EYEWEAR, INC.
Active
Organization
MESABI EYEWEAR, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. SHARI LYNN AUBOL (OWNER/OPTICIAN)
(218) 749-2448
Entity
Organization
Contact information
Practice address
104 N 3RD AVE, VIRGINIA, MN 55792-2519
(218) 749-2448
(218) 749-2448
Mailing address
104 N 3RD AVE, VIRGINIA, MN 55792-2519
(218) 749-2448
(218) 749-2448
Taxonomy
Speciality
Code
Description
License number
State
332H00000X
Eyewear Supplier
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1074070001
UNICARE
MN
01
—
115136
UCARE
MN
01
—
21-14110
MEDICA
MN
05
—
212225100
—
MN
01
—
4C819ME
FIRST PLAN OF MINNESOTA/B
MN
Enumeration date
07/25/2007
Last updated
06/05/2008
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