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1841289642

NPI Code Detail

MEDICARE: DR. ANDREA JEANNE URBACH OD

MEDICARE: DR. ANDREA JEANNE URBACH OD

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
1	152W00000X	Optometrist	2834	MN

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	0725060001	OTHER	MN	DMERC
2	111314	OTHER	MN	PATIENT CHOICE
3	595809	OTHER	MN	ARAZ/TPA/DEFINITY
4	2201698	OTHER	MN	MEDICA CHOICE
5	2201698	OTHER	MN	SELECT CARE
6	961571031014	OTHER	MN	PREFERRED 1 COMM HEALTH
7	230767606	OTHER	MN	VSP
8	N007	OTHER	MN	TRICARE
9	246J1UR	OTHER	MN	BCBS OF MN
10	1031014	OTHER	MN	PREFERRED ONE
11	132213	OTHER	MN	UCARE FOR SENIORS
12	HP35473	OTHER	MN	HEALTHPARTNERS

General Provider Information

NPI Number	:	1841289642
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. ANDREA JEANNE URBACH OD

Provider Business Mailing Address
First Line	:	2925 CHICAGO AVE
Second Line	:
City	:	MINNEAPOLIS
State	:	MN
Zip	:	55407-1321
Country	:	US
Telephone Number	:	612-262-9000
Fax Number	:

Provider Business Practice Location Address
First Line	:	1880 N FRONTAGE RD
Second Line	:
City	:	HASTINGS
State	:	MN
Zip	:	55033-2687
Country	:	US
Telephone Number	:	651-438-1800
Fax Number	:	651-438-1837

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	10/14/2005
Last Update Date	:	09/13/2021

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Directions to “ DR. ANDREA JEANNE URBACH OD” 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.

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