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Pine River Eye Center, Inc.
Eyewear Supplier in Baxter, Minnesota
NPI 1508165572

Pine River Eye Center, Inc. is a Eyewear Supplier based in Baxter, MN. Pine River Eye Center, Inc. practices in Baxter, MN. The NPI Number for Pine River Eye Center, Inc. is 1508165572 and holds a License No. (Minnesota).

The current practice location address for Pine River Eye Center, Inc. is 14453 Edgewood Dr, Baxter, MN and can be reached out via phone at 218-829-1789 and via fax at 218-829-1780.

Location: 14453 Edgewood Dr, Baxter, MN, 56425-8459
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1508165572
Provider Name
Pine River Eye Center, Inc.
Credential
Provider Entity Type
Organization
Address
14453 Edgewood Dr, Baxter, MN, 56425-8459
Phone Number
218-829-1789
Fax Number
218-829-1780
Provider Enumeration Date
03/16/2011
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
14453 Edgewood Dr
City
Baxter
State
Minnesota
Zip
56425-8459
Phone Number
218-829-1789
Fax Number
218-829-1780
person
Provider Business Mailing Address Details
Address
14453 Edgewood Dr
City
Baxter
State
Minnesota
Zip
56425-8459
Phone Number
218-829-1789
Fax Number
218-829-1780
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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