Organization
ADVANCED VISION CARE PA
Active
Other names
Valley Eye Clinic and Optical
Organization subpart
No
Provider details
NPI number
Authorized official
DR. VICKI S LUEHMANN OD (OPTOMETRIST /CO-OWNER)
(952) 492-2350
Entity
Organization
Contact information
Practice address
223 1ST ST E STE 101, JORDAN, MN 55352-1563
(952) 492-2350
(952) 492-6162
Mailing address
223 1ST ST E STE 101, JORDAN, MN 55352-1563
(952) 492-2350
(952) 492-6162
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
2848
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
110122
HEALTH PARTNERS CLINIC ID
MN
01
—
340K6VA
BCBS OF MN CLINIC ID
MN
05
—
480110500
—
MN
Enumeration date
05/01/2007
Last updated
12/28/2011
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