RELF EYECARE SPECIALISTS PA NPI 1215972617

NPI Information

  • NPI: 1215972617
  • Provider Name: RELF EYECARE SPECIALISTS PA
  • Classification: Ophthalmology - 207W00000X
  • Entity Type: Organization
  • CLIA Number: 24D2074999
  • Address: 4413 AIR BASE RD
    HERMANTOWN, MN
    ZIP 55811
  • Phone: (218) 720-3553

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NPI Details

RELF EYECARE SPECIALISTS PA is an ophthalmology in Hermantown, MN. The provider is an ophthalmologist has the knowledge and professional skills needed to provide comprehensive eye and vision care. Ophthalmologists are medically trained to diagnose, monitor and medically or surgically treat all ocular and visual disorders. This includes problems affecting the eye and its component structures, the eyelids, the orbit and the visual pathways. In so doing, an ophthalmologist prescribes vision services, including glasses and contact lenses. RELF EYECARE SPECIALISTS PA NPI is 1215972617. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

4413 AIR BASE RD
HERMANTOWN, MN
ZIP 55811-847
Phone: (218) 720-3553
Fax: (218) 786-9375

The provider's authorized official is Susan J Relf .
The authorized official title is President and has the following contact phone number (218) 720-3553.

The CLIA number assigned to this NPI record is 24D2074999 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 6/19/2006 and was last updated on 8/12/2011.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1207W00000XOphthalmologyYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
1500658900MEDICAIDMINNESOTA
2C02947MEDICARE ID-TYPE UNSPECIFIEDMINNESOTA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 3/30/2025

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