Individual
MR. ERIC WILLIAM SCOFIELD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
OPTICIAN
Contact information
Practice address
324 W SUPERIOR ST, DULUTH, MN 55802-1701
(218) 722-1477
Mailing address
324 W SUPERIOR ST, LOBBY, DULUTH, MN 55802-1701
(218) 722-1477
Taxonomy
Speciality
Code
Description
License number
State
156FX1800X
Optician
Primary
—
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2122930
MEDICA MEDICAID
MN
05
—
882828800
—
MN
Enumeration date
05/30/2008
Last updated
05/30/2008
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