Organization
BRADLEY W NEUJAHR OD PA
Active
Other names
Northwest Eye Center
Organization subpart
No
Provider details
NPI number
Authorized official
DR. BRADLEY WAYNE NEUJAHR OD (CEO OWNER)
(218) 694-2442
Entity
Organization
Contact information
Practice address
14 2ND ST NE, BAGLEY, MN 56621
(218) 694-2442
(218) 694-2446
Mailing address
PO BOX J, 14 2ND ST NE, BAGLEY, MN 56621-1008
(218) 694-2442
(218) 694-2446
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
1892
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
08298
METRO HEALTH
MN
05
—
137823600
—
MN
01
—
2100013
MEDICA
MN
01
—
2224062
MEDICA
MN
01
—
410027728
MEDICARE RAILROAD
MN
01
—
42B91NE
BLUE PLUS OPTICAL
MN
01
—
82043NE
BLUE PLUS
MN
01
—
83340NE
BLUE PLUS
MN
Enumeration date
10/20/2005
Last updated
11/24/2008
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