Organization
JORZACH INC
Active
Other names
Heartland EyeCare Center
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. RENAE L RIES OD (OWNER OD)
(507) 532-5777
Entity
Organization
Contact information
Practice address
202 OCONNELL ST, MARSHALL, MN 56258
(507) 532-5777
(507) 532-2087
Mailing address
202 OCONNELL ST, SUITE 1, MARSHALL, MN 56258
(507) 532-5777
(507) 532-2087
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
2670
MN
152W00000X
Optometrist
2671
MN
152W00000X
Optometrist
3204
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
044722600
—
MN
01
—
152763
UCARE
MN
01
—
164J3HE
BCBS OF MN
MN
01
—
164J6HE
BCBS BLUE PLUS OF MN
MN
01
—
97208
HEALTH PARTNERS
—
Enumeration date
07/31/2006
Last updated
07/01/2010
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