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Pine River Eye Center, Inc.
Eyewear Supplier in Nisswa, Minnesota
NPI 1073812418

Pine River Eye Center, Inc. is a Eyewear Supplier based in Nisswa, MN. Pine River Eye Center, Inc. practices in Nisswa, MN. The NPI Number for Pine River Eye Center, Inc. is 1073812418 and holds a License No. (Minnesota).

The current practice location address for Pine River Eye Center, Inc. is 5457 City Hall St, Nisswa, MN and can be reached out via phone at 218-963-2020 and via fax at 218-963-9811.

Location: 5457 City Hall St, Nisswa, MN, 56468-0349
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1073812418
Provider Name
Pine River Eye Center, Inc.
Credential
Provider Entity Type
Organization
Address
5457 City Hall St, Nisswa, MN, 56468-0349
Phone Number
218-963-2020
Fax Number
218-963-9811
Provider Enumeration Date
03/24/2011
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
197023200 05 MN
0579750001 01 MN DMERC PTAN
institution
Provider Business Practice Location Address Details
Address
5457 City Hall St
City
Nisswa
State
Minnesota
Zip
56468-0349
Phone Number
218-963-2020
Fax Number
218-963-9811
person
Provider Business Mailing Address Details
Address
5457 City Hall St
City
Nisswa
State
Minnesota
Zip
56468-0349
Phone Number
218-963-2020
Fax Number
218-963-9811
person
Provider's Taxonomy Details 1
Type
Suppliers
Classification
Eyewear Supplier
Speciality
-
Taxonomy
332H00000X
License No.
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Definition
An organization that provides spectacles, contact lenses, and other vision enhancement devices prescribed by an optometrist or ophthalmologist.
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