Individual
DR. PAMELA JO RUPNOW
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
O.D.
Contact information
Practice address
19645 PILOT KNOB RD, SUITE 106, FARMINGTON, MN 55024-7239
(651) 463-2020
(651) 463-2066
Mailing address
19645 PILOT KNOB RD, STE 106, FARMINGTON, MN 55024-7240
(952) 948-1357
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
2499
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
084015400
—
MN
01
—
1016339
PREFERRED ONE HEALTH PLAN
MN
01
—
113289
PATIENT'S CHOICE
MN
01
—
114544
UCARE
MN
01
—
2201169
MEDICA HEALTH PLAN
MN
01
—
26019
AMERICA'S PPO
MN
01
—
30041RU
BLUE CROSS/BLUE SHIELD
MN
Enumeration date
02/17/2006
Last updated
12/30/2018
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