Individual
DR. STEVEN GUS BEALS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
O.D.
Contact information
Practice address
209 N 1ST ST, MONTEVIDEO, MN 56265-1403
(320) 269-6822
(320) 269-6115
Mailing address
209 N 1ST ST, P O BOX 218, MONTEVIDEO, MN 56265-1403
(320) 269-6822
(320) 269-6115
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
2174
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
59851BE
BLUE CROSS BLUE SHIELD
MN
01
—
5C001BE
BLUE CROSS BLUE SHIELD
MN
Enumeration date
04/17/2007
Last updated
12/20/2010
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