Organization
LITTLE FALLS EYE CARE CENTER P.A
Active
Organization subpart
No
Provider details
NPI number
Authorized official
TIM ROBERT HINDERSCHIED (MANAGER)
(320) 632-3676
Entity
Organization
Contact information
Practice address
313 1ST ST SE, LITTLE FALLS, MN 56345-3005
(320) 632-3676
(320) 632-3677
Mailing address
313 1ST ST SE, LITTLE FALLS, MN 56345-3005
(320) 632-3676
(320) 632-3677
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0005852588
AETNA
MN
01
—
01006331
PREFERRED ONE
MN
01
—
1099200001
ADMINISTAR DMERC
MN
01
—
167238E979
UCARE
MN
01
—
21-16068
MEDICA
MN
01
—
41074
HEALTH PARTNERS
MN
01
—
4C929LI
BLUE CROSS BLUE SHIELD
MN
01
—
4C998LI
BCBS EYEGLASSES
FM
05
—
586062800
—
MN
01
—
DC1861
RAILROAD MEDICARE
MN
Enumeration date
07/23/2006
Last updated
02/13/2019
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