Organization
MINNESOTA EYE INSTITUTE, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KENT A CARLSON MD (OWNER)
(320) 759-2020
Entity
Organization
Contact information
Practice address
3401 S BROADWAY, ALEXANDRIA, MN 56308-3477
(320) 759-2020
(320) 759-2424
Mailing address
3401 S BROADWAY, ALEXANDRIA, MN 56308-3477
(320) 759-2020
(320) 759-2424
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
31849
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
43Q15MI
BCBS
MN
01
—
56221
HEALTHPARTNERS
MN
05
—
727602800
—
MN
01
—
CK4923
RAILROAD MEDICARE
MN
01
—
E076
UCARE
MN
Enumeration date
03/22/2007
Last updated
03/05/2013
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