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IRIS VISION CARE LLC. NPI 1679708887


NPI Information

NPI: 1679708887
Provider Name: IRIS VISION CARE, LLC.
Classification: Clinic/Center - 261Q00000X
Entity Type: Organization
Address:
1301 33RD ST S
SUITE 104
SAINT CLOUD, MN
ZIP 56301
Phone: (320) 281-4787
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IRIS VISION CARE, LLC. is a clinic center in Saint Cloud, MN. The provider is a facility or distinct part of one used for the diagnosis and treatment of outpatients. Clinic/Center is irregularly defined, sometimes being limited to organizations serving specialized treatment requirements or distinct patient/client groups (e.g., radiology, poor, and public health). IRIS VISION CARE, LLC. NPI is 1679708887. The provider is registered as an organization entity type.

The provider's business location address is:

1301 33RD ST S
SUITE 104
SAINT CLOUD, MN
ZIP 56301-668
Phone: (320) 281-4787

The provider's authorized official is Sally Beth Jackula .
The authorized official title is Owner and has the following contact phone number (320) 281-4787.

The enumeration date for this NPI number is 5/18/2009 and was last updated on 5/18/2009.


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
1261Q00000XClinic/Center2757MINNESOTAYes

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: 5/5/2024

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