Organization
MIDWEST VISION CENTERS INC
Active
Parent organization
MIDWEST VISION CENTERS INC.
Other names
Midwest Vision Centers
Organization subpart
Yes
Provider details
NPI number
Legal business name
MIDWEST VISION CENTERS INC.
Authorized official
CARIN MARIE EVANS (DIRECTOR OF OPERATIONS)
(320) 252-5777
Entity
Organization
Contact information
Practice address
830 WASHINGTON AVENUE, DETROIT LAKES, MN 56501
(218) 847-2127
(218) 847-0911
Mailing address
PO BOX 456, SAINT CLOUD, MN 56302
(320) 252-5777
(320) 258-3136
Taxonomy
Speciality
Code
Description
License number
State
156FX1800X
Optician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
04S34ST
BCBS MINNESOTA
MN
05
—
125785400
—
MN
01
—
21-12067
MEDICA PROVIDER ID DISPEN
MN
01
—
22-00802
MEDICA PROVIDER ID EXAMS
MN
01
—
24G89ST
BCBS MN EXAMS
MN
01
—
890422
NORTH DAKOTA VISION SERVI
ND
01
—
MN1917
EYEMED PROVIDER NUMBER
MN
Enumeration date
02/16/2007
Last updated
11/10/2021
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