Organization
HUTCHINSON SUPERSTORE INC.
Active
Other names
Primary EyeCare
Organization subpart
No
Provider details
NPI number
Authorized official
MATTHEW C HOPPE (OWNER)
(320) 587-4744
Entity
Organization
Contact information
Practice address
520 E HIGHWAY 12 STE 106, LITCHFIELD, MN 55355-2449
(320) 693-9333
Mailing address
520 E HIGHWAY 12 STE 106, LITCHFIELD, MN 55355-2449
(320) 693-9333
Taxonomy
Speciality
Code
Description
License number
State
332H00000X
Eyewear Supplier
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
115398
U-CARE
MN
05
—
148262900
—
MN
01
—
21-19379
MEDICA
MN
01
—
47807DU
BCBS EXAMS
FM
01
—
47808DU
BCBS EYEWEAR
MN
01
—
HP35042
HEALTHPARTNERS
MN
Enumeration date
10/12/2006
Last updated
08/08/2024
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