Organization
NORTHERN MINNESOTA EYE CARE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. SASHA NIRANJALI NARAYAN O.D. (PRESIDENT)
(218) 879-1558
Entity
Organization
Contact information
Practice address
1001 CLOQUET AVE, CLOQUET, MN 55720-1617
(218) 879-1558
Mailing address
1001 CLOQUET AVE, CLOQUET, MN 55720-1617
(218) 879-1558
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
2979/2974
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
16499
SPECTERA
MN
01
—
21-00780
MEDICA
MN
01
—
488P1VI
BCBS OF MN
MN
05
—
945665100
—
MN
Enumeration date
05/05/2006
Last updated
01/07/2009
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