Organization
MIDWEST VISION CENTERS INC
Active
Other names
MIDWEST VISION CENTERS
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. CARIN MARIE EVANS (DIRECTOR OF OPERATIONS)
(888) 466-5777
Entity
Organization
Contact information
Practice address
1605 1ST ST S, WILLMAR, MN 56201-4234
(320) 235-5853
(320) 235-5861
Mailing address
PO BOX 456, SAINT CLOUD, MN 56302-0456
(888) 466-5777
(320) 258-3136
Taxonomy
Speciality
Code
Description
License number
State
156FX1800X
Optician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
163964
UCARE
MN
01
—
2100331
MEDICA
MN
01
—
23180
PREFERRED ONE
MN
01
—
281R2MI
BLUE CROSS BLUE SHIELD
MN
05
—
450693600
—
MN
01
—
96035
HEALTH PARTNERS
MN
Enumeration date
11/15/2006
Last updated
11/10/2021
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