Organization
FERGUS FALLS VISION CARE PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DENISE M HANSON OD (CO OWNER)
(218) 736-5609
Entity
Organization
Contact information
Practice address
810 N BAIRD AVE, FERGUS FALLS, MN 56537-1617
(218) 736-5609
(218) 736-5600
Mailing address
810 N BAIRD AVE, FERGUS FALLS, MN 56537-1617
(218) 736-5609
(218) 736-5600
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
6140580
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
090944100
—
MN
01
—
281T9FE
BCBS
MN
01
—
282T2SM
BCBS
MN
05
—
60577
—
ND
01
—
94272
PREFERRED ONE
MN
Enumeration date
10/25/2006
Last updated
04/01/2015
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