Organization
WADENA EYE CLINIC LTD
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. CYNTHIA A MILLER (BUSINESS MANAGER)
(218) 631-2020
Entity
Organization
Contact information
Practice address
222 SOUTHEAST FIRST STREET, WADENA, MN 56482-1567
(218) 631-2020
(218) 631-1892
Mailing address
222 SOUTHEAST FIRST STREET, WADENA, MN 56482-1567
(218) 631-2020
(218) 631-1892
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
—
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2116301
MEDICA
MN
05
—
297717600
—
MN
01
—
57331
HEALTHPARTNERS
MN
01
—
5C053WA
BLUE PLUS
MN
01
—
83294MI
BLUE CROSS BLUE SHIELD
MN
01
—
999995764
VSP-DR.MILLER
MN
01
—
999995765
VSP-DR.TABBERT
MN
Enumeration date
10/02/2006
Last updated
07/21/2022
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