Organization
RICHARD A. PERROTT OD PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. RICHARD A PERROTT O.D. (OWNER)
(218) 327-1148
Entity
Organization
Contact information
Practice address
15 NE 5TH ST, GRAND RAPIDS, MN 55744-2601
(218) 327-1148
(218) 327-0386
Mailing address
15 NE 5TH ST, GRAND RAPIDS, MN 55744-2601
(218) 327-1148
(218) 327-0386
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
1638
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
22-00208
MEDICA
MN
01
—
70514PE
BLUE CROSS GROUP
MN
01
—
98383
PREFERRED ONE GROUP
MN
Enumeration date
04/16/2007
Last updated
08/22/2020
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