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Organization

MIDWEST VISION CENTERS INC

Active
Other names
MIDWEST VISION CENTERS
Organization subpart
No

Provider details

NPI number
Authorized official
MRS. CARIN MARIE EVANS (DIRECTOR OF OPERATIONS)
(888) 466-5777
Entity
Organization

Contact information

Practice address
318 JEFFERSON ST S, WADENA, MN 56482-1556
(218) 631-3300
(218) 632-4020
Mailing address
PO BOX 456, SAINT CLOUD, MN 56302-0456
(888) 466-5777
(320) 258-3136

Taxonomy

Speciality
Code
Description
License number
State
156FX1800X
Optician
Primary

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
106220
HEALTH PARTNERS
MN
01
180612
UCARE
MN
01
2100586
MEDICA
MN
01
23180
PREFERRED ONE
MN
01
430L0MI
BLUE CROSS BLUE SHIELD
MN
05
564198500
MN
01
DB6547
RAILROAD MEDICARE
MN
Enumeration date
11/15/2006
Last updated
11/10/2021
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