Organization
KA BLOOMQUIST RG BAKEWELL OD PA
Active
Other names
Eye Associates of Alexandria
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JOHN D HOVEN OD (PRESIDENT)
(320) 763-4321
Entity
Organization
Contact information
Practice address
120 12TH AVE E, ALEXANDRIA, MN 56308
(320) 763-4321
(320) 763-6921
Mailing address
PO BOX 789, 120 12TH AVE E, ALEXANDRIA, MN 56308
(320) 763-4321
(320) 763-6921
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
030701053
PRIMEWEST
—
01
—
0373300001
DME
—
01
—
121754
U CARE
—
01
—
2115931
MEDICA
—
01
—
4C196BL
BLUE CROSS
—
01
—
5982
HEALTH PARTNERS
—
01
—
61045BL
BLUE CROSS
—
01
—
942812700
MEDICAL ASSISTANCE
—
01
—
96477
PREFERRED ONE
—
01
—
CG3570
RR MEDICARE
—
Enumeration date
10/27/2006
Last updated
09/12/2011
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