Provider Demographics
NPI:1801819941
Name:RIVERTOWN EYE CARE PA
Entity Type:Organization
Organization Name:RIVERTOWN EYE CARE PA
Other - Org Name:JOSEPH SLAPNICHER O.D. P.A.
Other - Org Type:Former Legal Business Name
Authorized Official - Title/Position:PRESIDENT/OWNER/CEO
Authorized Official - Prefix:
Authorized Official - First Name:ERIC
Authorized Official - Middle Name:ROBERT
Authorized Official - Last Name:SLAPNICHER
Authorized Official - Suffix:
Authorized Official - Credentials:OD
Authorized Official - Phone:651-437-5469
Mailing Address - Street 1:1011 N FRONTAGE RD
Mailing Address - Street 2:
Mailing Address - City:HASTINGS
Mailing Address - State:MN
Mailing Address - Zip Code:55033-2662
Mailing Address - Country:US
Mailing Address - Phone:651-437-5469
Mailing Address - Fax:651-437-2910
Practice Address - Street 1:1011 N FRONTAGE RD
Practice Address - Street 2:
Practice Address - City:HASTINGS
Practice Address - State:MN
Practice Address - Zip Code:55033-2662
Practice Address - Country:US
Practice Address - Phone:651-437-5469
Practice Address - Fax:651-437-2910
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-07-26
Last Update Date:2022-09-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes152W00000XEye and Vision Services ProvidersOptometristGroup - Single Specialty
No332H00000XSuppliersEyewear SupplierGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
MN3C781RIOtherBLUE CROSS BLUE SHIELD
MN96402OtherPREFERRED ONE
MN2115746OtherMEDICA
MN478075200Medicaid
MN442OtherHEALTHPARTNERS
MN56636SLOtherBLUE CROSS BLUE SHIELD
MN96402OtherPREFERRED ONE
MN478075200Medicaid