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NPI Code Detail

MEDICARE: MIDWEST VISION CENTERS INC

MEDICARE: MIDWEST VISION CENTERS INC
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1156FX1800XOptician

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1281R4MIOTHERMNBLUE CROSS BLUE SHIELD
2MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
398420OTHERMNHEALTH PARTNERS
42100327OTHERMNMEDICA
5163963OTHERMNUCARE
623180OTHERMNPREFERRED ONE

General Provider Information

NPI Number : 1306918024
Entity Type Code : Organization
Provider Name (Legal Business Name) : MIDWEST VISION CENTERS INC
Provider Business Mailing Address
First Line : PO BOX 456
Second Line :
City : SAINT CLOUD
State : MN
Zip : 56302-0456
Country : US
Telephone Number : 888-466-5777
Fax Number : 320-258-3136
Provider Business Practice Location Address
First Line : 211 LABREE AVE N
Second Line :
City : THIEF RIVER FALLS
State : MN
Zip : 56701-2034
Country : US
Telephone Number : 218-681-5606
Fax Number : 218-681-5609
Authorized Official
Title or Position : DIRECTOR OF OPERATIONS
Name : MRS. CARIN MARIE EVANS
Credential :
Telephone Number : 888-466-5777
Provider Enumeration Date : 11/15/2006
Last Update Date : 11/10/2021

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Directions to “MIDWEST VISION CENTERS INC ” Practice Location

Language Start Address Practice Location
These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.