Organization
WARREN EYE CARE, P.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. STACEY JEAN BIENEK O.D. (OWNER/OPTOMETRIST)
(218) 745-5151
Entity
Organization
Contact information
Practice address
205 W JOHNSON AVE, SUITE #1, WARREN, MN 56762-1118
(218) 745-5151
(218) 745-6000
Mailing address
205 W JOHNSON AVE, SUITE #1, WARREN, MN 56762-1118
(218) 745-5151
(218) 745-6000
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
2847
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
779407000
—
MN
Enumeration date
07/23/2007
Last updated
10/31/2011
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