Organization
MIDWEST VISION CENTERS INC
Active
Other names
TAFT OPTICAL
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. PATRICE ANN LOSO (INSURANCE COORDINATOR)
(888) 466-5777
Entity
Organization
Contact information
Practice address
203 JEWETT ST, MARSHALL, MN 56258-3765
(507) 537-1976
(507) 537-1373
Mailing address
PO BOX 456, SAINT CLOUD, MN 56302-0456
(888) 466-5777
(320) 258-3136
Taxonomy
Speciality
Code
Description
License number
State
156FX1800X
Optician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
112970
UCARE
MN
01
—
121629
HEALTH PARTNERS
MN
01
—
2100459
MEDICA
MN
01
—
23180
PREFERRED ONE
MN
05
—
351132000
—
MN
01
—
490P4TA
BLUE CROSS BLUE SHIELD
MN
Enumeration date
11/20/2006
Last updated
01/09/2008
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