Organization
RIVER VALLEY EYE ASSOCIATES, INC
Active
Other names
River Valley Eye Professionals
Organization subpart
No
Provider details
NPI number
Authorized official
DR. PATRICK W O'NEILL O.D. (CFO)
(507) 645-9202
Entity
Organization
Contact information
Practice address
2019 JEFFERSON RD, SUITE A, NORTHFIELD, MN 55057-3258
(507) 645-9202
(507) 645-9203
Mailing address
2019 JEFFERSON RD, SUITE A, NORTHFIELD, MN 55057-3258
(507) 645-9202
(507) 645-9203
Taxonomy
Speciality
Code
Description
License number
State
261Q00000X
Clinic/Center
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
176K8RI
BLUE CROSS BLUE SHIELD
MN
Enumeration date
10/13/2006
Last updated
06/03/2013
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