Organization
OPTOMETRY 2000 VISION CARE INC
Active
Other names
ALBANY EYE CLINIC
Organization subpart
No
Provider details
NPI number
Authorized official
DR. RICKY FRANCIS GROETSCH O.D. (OPTOMETRIST)
(320) 845-4747
Entity
Organization
Contact information
Practice address
471 RAILROAD AVE, ALBANY, MN 56307-9458
(320) 845-4747
(320) 845-4885
Mailing address
471 RAILROAD AVE, ALBANY, MN 56307-9458
(320) 845-4747
(320) 845-4885
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
MN2082
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1006663
PREFERRED ONE PROV. NUM
MN
01
—
115186
UCARE PROV. NUMBER
MN
01
—
21-00018
MEDICA MATERIALS PROV. NU
MN
05
—
380225600
—
MN
01
—
410031767
RAILROAD MEDICARE PROV.
MN
01
—
47576
HEALTHPARTNERS PROV. NUM
MN
01
—
5C705GR
BLUE PLUS MATERIAL PROV.
MN
01
—
MN2082
EYEMED PROV. NUMBER
MN
Enumeration date
08/31/2006
Last updated
10/16/2008
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