Organization
ASSOCIATED EYE CARE LTD
Active
Organization subpart
No
Provider details
NPI number
Authorized official
GARY S SCHWARTZ (MD/AUTHORIZED OFFICIAL)
(651) 275-3025
Entity
Organization
Contact information
Practice address
2950 CURVE CREST BLVD W, STILLWATER, MN 55082
(651) 275-3000
(651) 275-3032
Mailing address
1719 TOWER DR W, STE 100, STILLWATER, MN 55082-7512
(651) 275-3000
(651) 275-3027
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
485
MN
207W00000X
Ophthalmology Physician
485
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
569008100
—
MN
01
—
C47544
RAILROAD MEDICARE
MN
01
—
CN7426
RAILROAD MEDICARE
WI
Enumeration date
06/15/2005
Last updated
12/05/2024
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