Individual
RENAE LYNN RIES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
OD
Contact information
Practice address
107 1ST STREET EAST, CANBY, MN 56220
(507) 223-5818
(507) 223-7737
Mailing address
202 OCONNELL, SUITE 1, MARSHALL, MN 56258
(507) 532-5777
(507) 532-2087
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
2671
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
123166
UCARE MN
MN
01
—
164J1RI
BLUE CROSS BLUE SHIELD
MN
01
—
164J2RI
BCBS OF MN
MN
01
—
164J5RI
BCBS BLUE PLUS OF MN
MN
01
—
2200504
MEDICA
MN
01
—
2200505
MEDICA
MN
01
—
2200506
MEDICA
MN
01
—
774451025289
PREFERRED ONE
MN
01
—
77451025290
PREFERRED ONE
MN
01
—
781101025289
PREFERRED ONE
MN
05
—
91902440
—
MN
01
—
9203177
SOUTH DAKOTA MEDICAID
SD
Enumeration date
07/31/2006
Last updated
07/08/2007
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