Organization
NORTH LAND OPTICAL CO
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. RONALD CHARLES HORN JR. (OWNER)
(218) 722-4212
Entity
Organization
Contact information
Practice address
600 E SUPERIOR ST, STE 111, DULUTH, MN 55802-2222
(218) 722-4212
(218) 722-4212
Mailing address
600 E SUPERIOR ST, STE 111, DULUTH, MN 55802-2222
(218) 722-4212
(218) 722-4212
Taxonomy
Speciality
Code
Description
License number
State
156FX1800X
Optician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
110498
UCARE MN GLASSES
MN
01
—
111276
UCARE MN VISION
MN
01
—
2100559
MEDICA GLASSES
MN
01
—
2200240
MEDICA VISION
MN
01
—
61773
HEALTH PARTNERS GLASSES
—
01
—
74610NO
BCBS
MN
01
—
74610NO
FIRST PLAN BLUE
—
05
—
794562100
—
MN
01
—
HP29194
HEALTH PARTNERS VISION
—
Enumeration date
10/19/2005
Last updated
06/29/2011
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