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Organization

PBR OPTOMETRISTS LTD OF WINDOM

Active
Organization subpart
No

Provider details

NPI number
Authorized official
BRIAN D TEMME O.D. (OWNER)
(507) 831-2429
Entity
Organization

Contact information

Practice address
1006 4TH AVE, WINDOM, MN 56101-1440
(507) 831-2429
(507) 831-4243
Mailing address
1006 4TH AVE, PO BOX 160, WINDOM, MN 56101-1440
(507) 831-2429
(507) 831-4243

Taxonomy

Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
2062
MN

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
112803
UCARE MINNESOTA
MN
01
2200203
MEDICA
MN
01
48670PB
BLUECROSS BLUESHIELD
MN
01
48677PB
BLUE PLUS
MN
01
942941013468
PREFFEREDONE
MN
Enumeration date
02/22/2007
Last updated
04/02/2008
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