| NPI | 1780125849 |
|---|---|
| Doing Business As | CENTRACARE EYE CENTER |
| Entity Type | Organization |
| Authorized Contact | MICHAEL A BLAIR Sr VP & CFO 320-255-5665 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM1300X Clinic/Center, Multi-Specialty |
| Enumeration Date | 2017-03-09 |
| Last Update Date | 2020-11-19 |