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MICKELSON EYE CLINIC, PA
NPI 1972528776
Optometrist in Thief River Falls, MN

Active since July 13, 2006
126 LABREE AVE S, THIEF RIVER FALLS, MN 56701(218) 683-3937(218) 683-4557 Get Directions Write a Review

NPPES record last updated: April 17, 2008. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Mickelson Eye Clinic, Pa NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MICKELSON EYE CLINIC, PA (NPI 1972528776) is a healthcare organization registered as an optometrist in Thief River Falls, Minnesota and active in the NPI registry since July 2006. The organization lists Craig R Mickelson, Owner/ Optometrist, as its authorized official.

NPPES Registry Identity

NPI1972528776
Entity TypeOrganization
Primary Taxonomy152W00000X
Legal Business NameMICKELSON EYE CLINIC, PA
Location Address126 LABREE AVE SThief River Falls, MN 56701-2819
Mailing Address126 Labree Ave S, Po Box 521Thief River Falls, MN 56701-2819 · (218) 683-3937 · Fax (218) 683-4557
Phone(218) 683-3937
Fax(218) 683-4557
Organization SubpartNo
Authorized OfficialCraig R MickelsonOwner/ Optometrist · (218) 683-3937
Enumeration DateJuly 13, 2006
Last NPPES UpdateApril 17, 2008
✔ NPI 1972528776 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyOptometristEye and Vision Services Providers
Taxonomy Code152W00000X
License✔ Licensed in MN · 1891
Definition
Doctors of optometry (ODs) are the primary health care professionals for the eye. Optometrists examine, diagnose, treat, and manage diseases, injuries, and disorders of the visual system, the eye, and associated structures as well as identify related systemic conditions affecting the eye. An optometrist has completed pre-professional undergraduate education in a college or university and four years of professional education at a college of optometry, leading to the doctor of optometry (O.D.) degree. Some optometrists complete an optional residency in a specific area of practice. Optometrists are eye health care professionals state-licensed to diagnose and treat diseases and disorders of the eye and visual system.
126 LABREE AVE S, Thief River Falls, MN 56701
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Other Identifiers 9

Other71973MN · Health Partners
Medicare UPINT65864MN
Other140661MN · Ucare
Medicare NSC3902360001MN
Other1026440MN · Preferred One
Other2201140MN · Medica
Other61B37MIMN · Blue Cross Blue Shield
Medicare PINCH5041MN
Medicare PINC04471MN

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Mickelson Eye Clinic, PA's NPI number?

The NPI number for Mickelson Eye Clinic, PA is 1972528776. It was assigned to this organization in the NPPES registry on July 13, 2006.

Where is Mickelson Eye Clinic, PA located?

Mickelson Eye Clinic, PA is located at 126 Labree Ave S, Thief River Falls, MN 56701. The listed phone number is (218) 683-3937.

What is Mickelson Eye Clinic, PA's specialty?

The primary specialty registered for this NPI is Optometrist with taxonomy code 152W00000X.

When was this NPI record last updated?

The NPPES record for Mickelson Eye Clinic, PA was last updated on April 17, 2008. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.