Organization
SARA MABIE OD PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. SARA A MABIE OD (DOCTOR OF OPTOMETRY)
(651) 436-3763
Entity
Organization
Contact information
Practice address
1189 GENEVA AVE N, OAKDALE, MN 55128-5746
(651) 702-2504
(651) 702-2504
Mailing address
1189 GENEVA AVE N, OAKDALE, MN 55128-5746
(651) 702-2504
(651) 731-7905
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
2593
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2201213
MEDICA
—
01
—
39G01TA
BCBS MN
MN
01
—
637371016544
PREFERRED ONE
—
01
—
637371026225
PREFERRED ONE
—
05
—
718317800
—
MN
01
—
84615
HEALTH PARTNERS
MN
01
—
964223
COLE MANAGED VISION
—
Enumeration date
11/20/2006
Last updated
12/07/2017
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