institution
Patjac, Inc.
Eyewear Supplier in Saint Cloud, Minnesota
NPI 1033118302

Patjac, Inc. is a Eyewear Supplier based in Saint Cloud, MN. Patjac, Inc. practices in Saint Cloud, MN. The NPI Number for Patjac, Inc. is 1033118302 and holds a License No. (Minnesota).

The current practice location address for Patjac, Inc. is 4118 W Division St, Saint Cloud, MN and can be reached out via phone at 320-252-2021 and via fax at 320-252-7416.

Location: 4118 W Division St, Saint Cloud, MN, 56301-3706
institution
Provider Profile Details
NPI Number
1033118302
Provider Name
Patjac, Inc.
Credential
Provider Entity Type
Organization
Address
4118 W Division St, Saint Cloud, MN, 56301-3706
Phone Number
320-252-2021
Fax Number
320-252-7416
Provider Enumeration Date
07/19/2005
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
C02754 01 WISCONSIN PHY
65209PE 01 MN BCBS
65208PE 01 MN BCBS
102081 01 MN COLE
65377 01 MN HP
110495 01 MN UCARE
21-20963 01 MN MEDICA
383663100 05 MN
institution
Provider Business Practice Location Address Details
Address
4118 W Division St
City
State
Zip
56301-3706
Phone Number
320-252-2021
Fax Number
320-252-7416
person
Provider Business Mailing Address Details
Address
4118 W Division St
City
State
Zip
56301-3706
Phone Number
320-252-2021
Fax Number
320-252-7416
person
Provider's Taxonomy Details 1
Type
Suppliers
Classification
Eyewear Supplier
Speciality
-
Taxonomy
License No.
(Minnesota)
Definition
An organization that provides spectacles, contact lenses, and other vision enhancement devices prescribed by an optometrist or ophthalmologist.
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