Provider Demographics
NPI:1376829457
Name:PROEYECARE ASSOCIATES PA
Entity Type:Organization
Organization Name:PROEYECARE ASSOCIATES PA
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER/PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:RICHARD
Authorized Official - Middle Name:M
Authorized Official - Last Name:LAUNER
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:651-645-3997
Mailing Address - Street 1:1570 CONCORDIA AVE
Mailing Address - Street 2:SUITE 202
Mailing Address - City:SAINT PAUL
Mailing Address - State:MN
Mailing Address - Zip Code:55104-5338
Mailing Address - Country:US
Mailing Address - Phone:651-287-8000
Mailing Address - Fax:651-287-8005
Practice Address - Street 1:7634 160TH ST W
Practice Address - Street 2:
Practice Address - City:LAKEVILLE
Practice Address - State:MN
Practice Address - Zip Code:55044-4442
Practice Address - Country:US
Practice Address - Phone:651-287-8000
Practice Address - Fax:651-287-8005
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2011-11-02
Last Update Date:2011-11-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207W00000XAllopathic & Osteopathic PhysiciansOphthalmologyGroup - Single Specialty