Organization
INDEX 53 OPT ICAL CO.INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LAWRENCE A RUDOLPH (PRES OPTICIAN)
(320) 252-9380
Entity
Organization
Contact information
Practice address
306 MAIN ST E, ST STEPHEN, MN 56375
(320) 252-9380
(320) 654-9502
Mailing address
PO BOX 1111, ST CLOUD, MN 56302
(320) 252-9380
(320) 654-9502
Taxonomy
Speciality
Code
Description
License number
State
156FX1800X
Optician
Primary
—
—
332BC3200X
Customized Equipment (DME)
—
—
Other
Enumeration date
04/29/2008
Last updated
03/27/2014
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