Provider Demographics
NPI:1558099101
Name:DRS. AKRE & CLARK, LTD.
Entity Type:Organization
Organization Name:DRS. AKRE & CLARK, LTD.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:INSURANCE COORDINATOR
Authorized Official - Prefix:
Authorized Official - First Name:SAMANTHA
Authorized Official - Middle Name:
Authorized Official - Last Name:RIEKE
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:507-233-2140
Mailing Address - Street 1:1715 S BROADWAY ST
Mailing Address - Street 2:
Mailing Address - City:NEW ULM
Mailing Address - State:MN
Mailing Address - Zip Code:56073-3751
Mailing Address - Country:US
Mailing Address - Phone:507-354-8531
Mailing Address - Fax:
Practice Address - Street 1:1111 2ND ST NE
Practice Address - Street 2:
Practice Address - City:WASECA
Practice Address - State:MN
Practice Address - Zip Code:56093-2416
Practice Address - Country:US
Practice Address - Phone:507-835-2020
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:DRS. AKRE & CLARK, LTD.
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2022-08-11
Last Update Date:2022-08-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes152W00000XEye and Vision Services ProvidersOptometristGroup - Single Specialty