Organization
NORTHERN MINNESOTA EYE CARE LLC
Active
Other names
Vista Eyes
Organization subpart
No
Provider details
NPI number
Authorized official
DR. SASHA NIRANJALI NARAYAN O.D. (PRESIDENT)
(773) 495-9669
Entity
Organization
Contact information
Practice address
1416 S 12TH AVE, VIRGINIA, MN 55792-3247
(773) 495-9669
Mailing address
1010 22ND ST, APT 301, CLOQUET, MN 55720-2876
(773) 495-9669
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
2979/2974
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
21-00779
MEDICA
MN
01
—
25062
SPECTERA
MN
01
—
488P1VI
BCBS OF MN
MN
Enumeration date
10/06/2006
Last updated
08/22/2020
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