Organization
SANFORD HEALTH OF NORTHERN MINNESOTA
Active
Other names
Sanford Health 1611 Eye Center & Optical
Organization subpart
No
Provider details
NPI number
Authorized official
TONY LEE MORRISON (VICE PRESIDENT, REVENUE CYCLE)
(605) 328-8380
Entity
Organization
Contact information
Practice address
1611 ANNE ST NW, STE 7, BEMIDJI, MN 56601-5114
(218) 333-2020
(218) 333-2019
Mailing address
PO BOX 5074, SIOUX FALLS, SD 57117-5074
(605) 328-6585
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
—
—
207N00000X
Dermatology Physician
—
—
207W00000X
Ophthalmology Physician
Primary
—
—
332H00000X
Eyewear Supplier
—
—
Other
Enumeration date
08/04/2008
Last updated
01/23/2025
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