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Type 2 · Organization ✓ Active NPI ✓ Valid NPI checksum Organization subpart

Pine River Eye Center, Inc.

Eyewear Supplier in Baxter, MN · enumerated 2011 · authorized official Michael Marvin, Ceo.

Data current as of Jul 13, 2026 · sourced from CMS NPPES

National Provider Identifier

1508165572

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Registry record

Entity type Organization (Type 2)
Legal business name Pine River Eye Center, Inc.
Other name <Unavail>
Parent organization Pine River Eye Center, Inc.
Practice address 14453 Edgewood Dr, Baxter, MN, 56425
Phone (218) 829-1789
Fax (218) 829-1780
Enumeration date Mar 16, 2011
Last updated in NPPES Mar 16, 2011

Taxonomy & classification

332H00000X Eyewear Supplier Suppliers Primary

Authorized official

Name Michael Marvin
Title Ceo
Phone (218) 587-2020

Other identifiers

Identifier Type State Issuer
197023200 Medicaid MN -
0579750001 Other MN DMERC PTAN

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes, even if the provider moves or changes specialty.

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Frequently asked questions

Where is Pine River Eye Center, Inc. located?
The practice location on file with NPPES is in Baxter, MN.
How current is this record?
Data comes from the CMS NPPES public dissemination file; this record was last updated in NPPES on 2011-03-16. Verify at npiregistry.cms.hhs.gov.

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Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2011-03-16.