Organization · Type 2 NPI
Pine River Eye Center, Inc.
Eyewear Supplier · Nisswa, MN
NPI number
1073812418
Active
Practice location
5457 City Hall St
Nisswa, MN 56468-0349
Fax (218) 963-9811
Mailing address
5457 City Hall St., PO Box 349
Nisswa, MN 56468-0349
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Eyewear Supplier Primary | 332H00000X | None listed |
Eyewear Supplier: An organization that provides spectacles, contact lenses, and other vision enhancement devices prescribed by an optometrist or ophthalmologist.
About NPI 1073812418
Pine River Eye Center, Inc.'s National Provider Identifier is 1073812418, issued on Mar 24, 2011. The primary taxonomy on file is Eyewear Supplier (332H00000X), and the practice location is in Nisswa, MN. The record was last updated on Mar 24, 2011.