Organization
BENJAMIN D STONE INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
VICKI LYNN STONE (BOOKKEEPER OWNER)
(218) 283-4788
Entity
Organization
Contact information
Practice address
340 3RD ST, INTERNATIONAL FALLS, MN 56649
(218) 283-4788
Mailing address
340 3RD ST, INTERNATIONAL FALLS, MN 56649
(218) 283-4788
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
1583
MN
332H00000X
Eyewear Supplier
1583
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
111184
UCARE
MN
01
—
16255
SPECTERA
MN
01
—
2100595
MEDICA
MN
01
—
2222415
MEDICA
MN
01
—
264685T
BLUE CROSS
MN
01
—
4C9925T
BLUE CROSS
MN
01
—
52902
DAVIS VISION
MN
05
—
581223200
—
MN
01
—
MN1583
EYE MED
MN
Enumeration date
12/05/2006
Last updated
06/05/2008
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