Litchfield Eye Clinic
Organization Active NPI Optometrist · Litchfield, MN
NPI 1932272473 · NPPES record last updated Aug 22, 2020
Key facts
- NPI
- 1932272473
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Optometrist 152W00000X
- License
- 1586 (MN)
- Legal business name
- LITCHFIELD EYE CLINIC
- Practice address
- 715 N Sibley Ave
Litchfield, MN 55355-1765 - Phone
- (320) 693-3100
- Fax
- (320) 693-2312
- NPI assigned
- Nov 15, 2006
- Organization subpart
- No
Authorized official
- Name
- Terrance Tancabel, OD
- Title
- Optometry
- Phone
- (320) 693-3100
National Provider Directory
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Optometrist |
152W00000X | 1586 | MN | Yes |
Addresses
Primary practice location
715 N Sibley Ave
Litchfield, MN 55355-1765
Mailing address
715 N Sibley Ave
Litchfield, MN 55355-1765
Phone (320) 693-3100
Other providers in Litchfield, MN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Aug 22, 2020. 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.