Organization
RIVER VALLEY EYE ASSOCIATES INC.
Active
Other names
River Valley Eye Professionals
Organization subpart
No
Provider details
NPI number
Authorized official
DR. PATRICK O'NEILL O.D. (OWNER)
(507) 645-9202
Entity
Organization
Contact information
Practice address
2019 JEFFERSON RD, SUITE B, NORTHFIELD, MN 55057-3258
(507) 645-2020
(507) 645-9203
Mailing address
2019 JEFFERSON RD, SUITE B, NORTHFIELD, MN 55057-3258
(507) 645-2020
(507) 645-9203
Taxonomy
Speciality
Code
Description
License number
State
332H00000X
Eyewear Supplier
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
21-00444
MEDICA
MN
05
—
313638800
—
MN
01
—
367R8NO
BLUE CROSS BLUE SHIELD
MN
Enumeration date
10/04/2006
Last updated
01/17/2013
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