Provider Demographics
NPI:1972655157
Name:VISION 'CENTS' OPTICAL
Entity Type:Organization
Organization Name:VISION 'CENTS' OPTICAL
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OFFICE MANAGER
Authorized Official - Prefix:MRS
Authorized Official - First Name:MARGO
Authorized Official - Middle Name:MAE
Authorized Official - Last Name:PIXLEY
Authorized Official - Suffix:
Authorized Official - Credentials:OPTICIAN
Authorized Official - Phone:320-632-1950
Mailing Address - Street 1:118 E BROADWAY
Mailing Address - Street 2:
Mailing Address - City:LITTLE FALLS
Mailing Address - State:MN
Mailing Address - Zip Code:56345-3039
Mailing Address - Country:US
Mailing Address - Phone:320-632-1950
Mailing Address - Fax:320-632-2558
Practice Address - Street 1:118 E BROADWAY
Practice Address - Street 2:
Practice Address - City:LITTLE FALLS
Practice Address - State:MN
Practice Address - Zip Code:56345-3039
Practice Address - Country:US
Practice Address - Phone:320-632-1950
Practice Address - Fax:320-632-2558
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-01-17
Last Update Date:2022-07-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MN332H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332H00000XSuppliersEyewear Supplier
Provider Identifiers
StateIdentifier IDID TypeIssuer
MN43449OtherHEALTH PARTNERS
MN116885OtherUCARE
MN21-02502OtherMEDICA
MN2G245WIOtherBCBS
MN43449OtherHEALTH PARTNERS
MN3C141MCMedicare ID - Type UnspecifiedMEDICARE