Organization
JORZACH INC
Active
Other names
HEARTLAND EYECARE CENTER
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. LISA LEEANN WILLAND (OFFICE MANAGER)
(320) 769-2977
Entity
Organization
Contact information
Practice address
878 6TH ST, DAWSON, MN 56232
(320) 769-2977
(320) 769-4322
Mailing address
878 6TH STREET, DAWSON, MN 56232
(320) 769-2977
(320) 769-4322
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
2670
MN
152W00000X
Optometrist
2671
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
044714500
—
MN
01
—
114766
UCARE MN
MN
01
—
126236
UCARE
—
01
—
163J7HE
BLUE CROSS BLUE SHIELD
MN
01
—
163J8HE
BLUE PLUS
MN
01
—
97204
HEALTH PARTNERS
—
Enumeration date
10/04/2006
Last updated
05/16/2013
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