Healthcare Provider Details

I. General information

NPI: 1972655157
Provider Name (Legal Business Name): VISION 'CENTS' OPTICAL
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 01/17/2007
Last Update Date: 07/21/2022
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

118 E BROADWAY
LITTLE FALLS MN
56345-3039
US

IV. Provider business mailing address

118 E BROADWAY
LITTLE FALLS MN
56345-3039
US

V. Phone/Fax

Practice location:
  • Phone: 320-632-1950
  • Fax: 320-632-2558
Mailing address:
  • Phone: 320-632-1950
  • Fax: 320-632-2558

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code332H00000X
TaxonomyEyewear Supplier
License Number
License Number StateMN

VIII. Authorized Official

Name: MRS. MARGO MAE PIXLEY
Title or Position: OFFICE MANAGER
Credential: OPTICIAN
Phone: 320-632-1950