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Organization

ST. PETER EYECARE CENTER

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MS. TERRI WINTER (ADMINISTRATOR)
(507) 931-6436
Entity
Organization

Contact information

Practice address
320 SUNRISE DR, SAINT PETER, MN 56082-1352
(507) 931-6436
(507) 934-9625
Mailing address
320 SUNRISE DR, SAINT PETER, MN 56082-1352
(507) 931-6436
(507) 934-9625

Taxonomy

Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
0322460001
DMERC
MN
01
0582866
IOWA MEDICAID
MN
01
114338
UCARE
MN
01
15568
HEALTHPARTNERS
MN
01
22-12052
MEDICA
MN
01
2216066
MEDICA EYEWEAR/CARE
MN
01
33077DI
BLUE CROSSBLUE SHIELD
MN
01
44977TH
BLUEPLUS EYEWEAR
MN
01
98698
PREFERRED ONE
MN
01
CK5179
MEDICARE RAILROAD
MN
Enumeration date
01/25/2007
Last updated
02/29/2008
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