Individual
KARI LYNN ELIASON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
O.D.
Contact information
Practice address
356 12TH ST SW, FOREST LAKE, MN 55025-1749
(651) 464-1955
(657) 464-1977
Mailing address
124 CANAL DR, ROCKFORD, MN 55373-9684
(763) 477-5579
(763) 477-5579
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
MN 2795
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
063M5EL
BLUE CROSS BLUE SHIELD
MN
01
—
137J0EL
BLUE CROSS BLUE SHIELD
MN
01
—
137J1EL
BLUE CROSS BLUE SHIELD
MN
01
—
141664
UCARE
MN
01
—
22-02072
MEDICA
MN
01
—
22-02382
MEDICA
MN
01
—
22-02383
MEDICA
MN
01
—
22-02384
MEDICA
MN
01
—
22-02386
MEDICA
MN
01
—
22-02387
MEDICA
MN
01
—
22-02388
MEDICA
MN
01
—
910561
EYEMED
MN
01
—
933591034648
PREFERRED ONE
MN
01
—
HP39679
HEALTH PARTNERS
MN
Enumeration date
03/07/2007
Last updated
07/09/2007
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