Individual
DR. BYRON K FLECK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
O.D.
Contact information
Practice address
4740 MALL DRIVE, HERMANTOWN, MN 55811
(218) 727-1204
Mailing address
8664 EVERGREEN LN, COTTON, MN 55724-8109
(218) 482-3284
Taxonomy
Speciality
Code
Description
License number
State
152WC0802X
Corneal and Contact Management Optometrist
Primary
2733
MN
152WC0802X
Corneal and Contact Management Optometrist
2788-035
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
128886
U-CARE
MN
01
—
16525
SPECTERA
MN
01
—
22-03394
MEDICA
MN
01
—
22-03395
MEDICA
WI
01
—
37024
AVESIS
WI
01
—
37832
AVESIS
MN
01
—
43076
SPECTERA
MN
01
—
53M11FL
BLUE CROSS BLUE SHIELD
MN
01
—
647819
PA BLUE CROSS BLUE SHIELD
MN
01
—
647819
BCBS PA
WI
01
—
B25851028756
PREFERRED ONE
WI
01
—
B25861028756
PREFERRED ONE
MN
Enumeration date
10/02/2006
Last updated
08/13/2008
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