Individual
SAMUEL R SANT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
O.D.
Contact information
Practice address
1611 ANNE ST NW, BEMIDJI, MN 56601-5114
(218) 333-2020
(218) 333-2019
Mailing address
PO BOX 5074, SIOUX FALLS, SD 57117-5074
(605) 328-6585
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
2983
MN
152WC0802X
Corneal and Contact Management Optometrist
2983
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1045618
PREFERREDONE
—
01
—
2203004
MEDICA
—
01
—
28776
ND BCBS
—
05
—
787600900
—
MN
01
—
943G7SA
MN BCBS
MN
01
—
HP57667
HEALTHPARTNERS
—
Enumeration date
01/31/2007
Last updated
03/16/2023
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