Individual
KATIE E OLINECK
Active
Sole proprietor
Provider details
NPI number
Gender
F
Credential
OD
Contact information
Practice address
13645 GROVE DR N, MAPLE GROVE, MN 55311
(763) 420-8030
(763) 420-9842
Mailing address
5200 DOUGLAS DR N, CRYSTAL, MN 55429-3104
(763) 537-3213
(763) 537-6732
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
2876
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
171040
UCARE SRS AND MN
MN
01
—
1808779
ARAZ/AMERICA'S PPO
MN
01
—
219596
COLE MANAGED VISION
MN
01
—
22-01181
MEDICA PRIMARY
MN
01
—
22-01907
SELECT CARE
MN
01
—
22-01908
MEDICA CHOICE
MN
01
—
331J9OL
BLUE CROSS/BLUE SHIELD
MN
01
—
644S6OL
BLUE CROSS/BLUE SHIELD
MN
01
—
935301032789
PREFERRED ONE
MN
01
—
964111032789
PREFERRED ONE
MN
01
—
HP37235
HEALTH PARTNERS
MN
Enumeration date
06/08/2005
Last updated
07/08/2007
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