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Organization

AARON BLAINE MIELSTAD

Active
Other names
Invision Eye Care
Organization subpart
No

Provider details

NPI number
Authorized official
MRS. KELLY J SCOTT (BILLING AGENT)
(952) 935-1961
Entity
Organization

Contact information

Practice address
867 GRAND AVENUE, ST PAUL, MN 55105
(651) 291-0318
Mailing address
PO BOX 1170, MAPLE GROVE, MN 55311
(651) 291-0318

Taxonomy

Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
2782
MN

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
059R7MJ
BCBS
MN
01
1028824
PREFERRED ONE
MN
01
115682
HEALTH PARTNERS
MN
01
22-03317
MEDICA/GRAND AVE
MN
01
22-03318
MEDICA/MINNETONKA
MN
01
502029037
AETNA
MN
05
749422000
MN
01
76656102882
PREF. ONE
MN
01
82G74IN
BCBS OF MN
MN
Enumeration date
10/04/2006
Last updated
08/04/2008
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