Provider Demographics
NPI:1174834022
Name:PURFEERST, MISTY (OD)
Entity Type:Individual
Prefix:DR
First Name:MISTY
Middle Name:
Last Name:PURFEERST
Suffix:
Gender:F
Credentials:OD
Other - Prefix:DR
Other - First Name:MISTY
Other - Middle Name:
Other - Last Name:PILLER
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:OD
Mailing Address - Street 1:1575 20TH ST NW
Mailing Address - Street 2:STE 101
Mailing Address - City:FARIBAULT
Mailing Address - State:MN
Mailing Address - Zip Code:55021-2930
Mailing Address - Country:US
Mailing Address - Phone:507-332-9900
Mailing Address - Fax:507-332-6800
Practice Address - Street 1:1575 20TH ST NW
Practice Address - Street 2:STE 101
Practice Address - City:FARIBAULT
Practice Address - State:MN
Practice Address - Zip Code:55021-2930
Practice Address - Country:US
Practice Address - Phone:507-332-9900
Practice Address - Fax:507-332-6800
Is Sole Proprietor?:No
Enumeration Date:2010-06-25
Last Update Date:2020-07-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MN3206152W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes152W00000XEye and Vision Services ProvidersOptometrist