Organization
MINNESOTA VISION GROUP PA
Active
Other names
INSIGHT EYE CARE
Organization subpart
No
Provider details
NPI number
Authorized official
GREG J FRIEDERICHS OD (OWNER)
(320) 253-0365
Entity
Organization
Contact information
Practice address
206 W DIVISION ST, WAITE PARK, MN 56387-1662
(320) 253-0365
(320) 253-9401
Mailing address
206 W DIVISION ST, WAITE PARK, MN 56387-1331
(320) 253-0365
(320) 253-9401
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
161524600
—
MN
01
—
2298740
MEDICA
MN
01
—
2352
HEALTH PARTNERS
MN
01
—
54327CL
BCBS
MN
Enumeration date
07/25/2006
Last updated
10/16/2015
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