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Organization

JORZACH INC

Active
Other names
HEARTLAND EYECARE CENTER
Organization subpart
No

Provider details

NPI number
Authorized official
MRS. RENAE RIES (OWNER)
(507) 223-5818
Entity
Organization

Contact information

Practice address
130 1ST ST W STE 105, CANBY, MN 56220-1465
(507) 223-5818
(507) 223-7737
Mailing address
130 1ST ST W STE 105, CANBY, MN 56220-1465
(507) 223-5818
(507) 223-7737

Taxonomy

Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
2670
MN
152W00000X
Optometrist
2671
MN
152W00000X
Optometrist
3204
MN

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
044742100
MN
01
114766
UCARE
01
163J2HE
BCBS OF MN
MN
01
163J3HE
BLUE PLUS
MN
01
97203
HEALTH PARTNERS
01
DA3363
RAILROAD MEDICARE
Enumeration date
10/12/2006
Last updated
06/16/2023
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