Jorzach Inc
Organization Active NPI Optometrist · Canby, MN
NPI 1922197714 · NPPES record last updated Jun 16, 2023
Key facts
- NPI
- 1922197714
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Optometrist 152W00000X
- License
- 2670 (MN)
- Legal business name
- JORZACH INC
- Practice address
- 130 1St St W Ste 105
Canby, MN 56220-1465 - Phone
- (507) 223-5818
- Fax
- (507) 223-7737
- NPI assigned
- Oct 12, 2006
- Organization subpart
- No
Authorized official
- Name
- Mrs. Renae Ries
- Title
- Owner
- Phone
- (507) 223-5818
National Provider Directory
Locations
130 1st St W
Ste 105
Canby, MN 56220
Phone (507) 223-5818
202 S Oconnell St
Ste 1
Marshall, MN 56258
Phone (507) 532-5777
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Optometrist |
152W00000X | 2670 | MN | Yes |
| Optometrist |
152W00000X | 2671 | MN | |
| Optometrist |
152W00000X | 3204 | MN |
Addresses
Primary practice location
130 1St St W Ste 105
Canby, MN 56220-1465
Mailing address
130 1St St W Ste 105
Canby, MN 56220-1465
Phone (507) 223-5818
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 044742100 | Medicaid | MN | |
| 114766 | Other | UCARE | |
| 163J3HE | Other | MN | BLUE PLUS |
| 163J2HE | Other | MN | BCBS OF MN |
| 97203 | Other | HEALTH PARTNERS | |
| DA3363 | Other | RAILROAD MEDICARE |
Other names
- HEARTLAND EYECARE CENTER
Other providers in Canby, MN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jun 16, 2023. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.