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Organization

COLD SPRING EYE CLINIC PA

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MR. ROBERT SARTORIS OD (OWNER)
(320) 685-3089
Entity
Organization

Contact information

Practice address
219 MAIN ST, COLD SPRING, MN 56320-2532
(320) 685-3089
(320) 685-4269
Mailing address
219 MAIN ST, COLD SPRING, MN 56320-2532
(320) 685-3089
(320) 685-4269

Taxonomy

Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
1560
MN

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
381323100
MN
01
410001855
MEDICARE PROVIDER ID
MN
01
66G00CO
BCBS
MN
Enumeration date
06/12/2007
Last updated
04/19/2011
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