Provider Demographics
NPI:1497389944
Name:UP NORTH EYE CARE, P.A.
Entity Type:Organization
Organization Name:UP NORTH EYE CARE, P.A.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OPTOMETRIST
Authorized Official - Prefix:
Authorized Official - First Name:STEPHANIE
Authorized Official - Middle Name:
Authorized Official - Last Name:PARRISH
Authorized Official - Suffix:
Authorized Official - Credentials:OD
Authorized Official - Phone:218-746-2020
Mailing Address - Street 1:775 BUCKSKIN AVE W STE 1
Mailing Address - Street 2:
Mailing Address - City:PILLAGER
Mailing Address - State:MN
Mailing Address - Zip Code:56473-2509
Mailing Address - Country:US
Mailing Address - Phone:218-746-2020
Mailing Address - Fax:218-520-0654
Practice Address - Street 1:775 BUCKSKIN AVE W STE 1
Practice Address - Street 2:
Practice Address - City:PILLAGER
Practice Address - State:MN
Practice Address - Zip Code:56473-2509
Practice Address - Country:US
Practice Address - Phone:218-746-2020
Practice Address - Fax:218-520-0654
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-02-24
Last Update Date:2022-02-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes152W00000XEye and Vision Services ProvidersOptometristGroup - Single Specialty