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Organization

HATAYE-SOFTING OPTOMETRISTS, LTD.

Active
Other names
Innovision Eyecare
Organization subpart
No

Provider details

NPI number
Authorized official
DR. GARETH HATAYE O.D. (PRESIDENT)
(507) 373-0627
Entity
Organization

Contact information

Practice address
232 S BROADWAY AVE, ALBERT LEA, MN 56007-2521
(507) 373-0627
(507) 373-0628
Mailing address
232 S BROADWAY AVE, ALBERT LEA, MN 56007-2521
(507) 373-0627
(507) 373-0628

Taxonomy

Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
2189
MN
152W00000X
Optometrist
2212
MN

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
1011297
PREFERRED ONE GARETH
MN
01
1011298
PREFERRED ONE ALAINA
MN
01
115713
UCARE GARETH
MN
01
122609
UCARE ALAINA
MN
01
123247
UCARE GROUP
MN
05
169323900
MN
01
2200104
MEDICA OPTICAL
MN
01
2200450
MEDICA
MN
05
409523500
MN
01
4C067PA
BCBSM GROUP
MN
01
4C068SO
BCBSM ALAINA
MN
01
4C069HA
BCBSM GARETH
MN
01
4C070PA
BCBSM OPTICAL
MN
Enumeration date
01/24/2007
Last updated
12/28/2011
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