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Organization
STEWART EYECARE, INC.
Active
Organization
STEWART EYECARE, INC.
Active
Other names
River Valley Vision Centers
Organization subpart
No
Provider details
NPI number
Authorized official
STEVEN L BAKKE ABOC (MANAGER)
(507) 645-2020
Entity
Organization
Contact information
Practice address
2019 JEFFERSON ROAD, NORTHFIELD, MN 55057
(507) 744-3245
Mailing address
2019 JEFFERSON RD, SUITE A, NORTHFIELD, MN 55057-3258
(507) 645-9202
(507) 645-9203
Taxonomy
Speciality
Code
Description
License number
State
332H00000X
Eyewear Supplier
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
164416
UCARE OF MINNESOTA
MN
01
—
21-00718
MEDICA
MN
01
—
594K8RI
BLUE CROSS BLUE SHIELD MN
MN
Enumeration date
02/21/2007
Last updated
08/22/2020
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