Organization
ST PETER EYECARE CENTER, INC
Active
Parent organization
ST PETER EYECARE CENTER, INC
Other names
LeCenter Eyecare
Organization subpart
Yes
Provider details
NPI number
Legal business name
ST PETER EYECARE CENTER, INC
Authorized official
DR. BLAKE THOMAS DIRKS OD (OPTOMETRIST)
(507) 931-6436
Entity
Organization
Contact information
Practice address
1 E MINNESOTA ST, LE CENTER, MN 56057-1501
(507) 357-6665
Mailing address
320 SUNRISE DR, SAINT PETER, MN 56082-1352
(507) 931-6436
(507) 934-9625
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
2076
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0322460001
DMERC
MN
01
—
114338
UCARE
MN
01
—
15568
HEALTH PARTNERS
MN
01
—
2200871
MEDICA
MN
01
—
33077DI
BLUE CROSS BLUE SHIELD
MN
01
—
44977TH
BLUEPLUS EYEWEAR
MN
05
—
706140400
—
MN
01
—
C06707
MEDICARE
MN
Enumeration date
01/22/2007
Last updated
06/18/2008
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us