Organization
NORTH LAND OPTICAL CO
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. RON C HORN JR. OPTICIAN (OWNER)
(218) 722-4212
Entity
Organization
Contact information
Practice address
600 E SUPERIOR ST, STE # 111, DULUTH, MN 55802-2222
(218) 722-4212
(218) 722-4212
Mailing address
600 E SUPERIOR ST, STE # 111, DULUTH, MN 55802-2222
(218) 722-4212
(218) 722-4212
Taxonomy
Speciality
Code
Description
License number
State
332H00000X
Eyewear Supplier
Primary
—
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
110498
UCARE MINNESOTA
MN
01
—
111276
UCARE MINNESOTA
MN
01
—
1891784062
BLUE CROSS BLUE SHEILD OF MINNESOTA
MN
05
—
1891784062
—
MN
01
—
21-00559
MEDICA
MN
01
—
22-00240
MEDICA
MN
01
—
61773
HEALTHPARTNERS
MN
Enumeration date
03/23/2009
Last updated
07/21/2022
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