Organization
MAPLE GROVE VISION CLINIC, P.A.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LINDA M THIEL (CLINIC ADMINISTRATOR)
(763) 420-8030
Entity
Organization
Contact information
Practice address
13645 GROVE DR, MAPLE GROVE, MN 55311-4405
(763) 420-8030
(763) 420-8342
Mailing address
13645 GROVE DR, MAPLE GROVE, MN 55311-4405
(763) 420-8030
(763) 420-8342
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
762603700
—
MN
Enumeration date
07/04/2006
Last updated
08/31/2009
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us