McAllen Rutz Eye Clinic PA

Organization Active NPI Optometrist · Hallock, MN

NPI 1164533410 · NPPES record last updated Mar 11, 2008

Key facts

NPI
1164533410
Entity type
Organization (NPI type 2)
Primary specialty
Optometrist 152W00000X
License
1836 (MN)
Legal business name
MCALLEN RUTZ EYE CLINIC PA
Practice address
204 South Atlantic
Hallock, MN 56728
Phone
(218) 843-2663
Fax
(218) 843-2665
NPI assigned
Aug 31, 2006
Organization subpart
No

Authorized official

Name
Duane R Rutz, OD
Title
Ceo/ President
Phone
(218) 843-2663

Practitioners 8

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

National Provider Directory

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist
Group: 193400000X SINGLE SPECIALTY GROUP
152W00000X 1836 MN Yes

Addresses

Primary practice location

204 South Atlantic
Hallock, MN 56728

Mailing address

PO Box 910
204 South Atlantic
Hallock, MN 56728
Phone (218) 843-2663

Other identifiers

IdentifierTypeStateIssuer
63520MCOtherMNBCBS

Other names

  • McAllen Rutz Optometry Clinic Former legal business name

Other providers in Hallock, MN

All providers in Hallock, MN · Optometrist in Minnesota

Sources for this page

Verify at the official NPI Registry.