Organization
KASSON EYE CARE PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. CHRISTINE A LESKA OD (OWNER CEO)
(507) 634-4445
Entity
Organization
Contact information
Practice address
504 S MANTORVILLE AVENUE, STE 1, KASSON, MN 55944-2207
(507) 634-4445
(507) 634-7940
Mailing address
504 S MANTORVILLE AVENUE, STE 1, KASSON, MN 55944-2207
(507) 634-4445
(507) 634-7940
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
122237
UCARE
MN
01
—
22838
MEDICA
MN
01
—
5C123KA
BLUE PLUS
MN
01
—
63203KA
BLUE CROSS & BLUE SHIELD
MN
01
—
96969
PREFERRED ONE
MN
Enumeration date
07/25/2006
Last updated
11/29/2007
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