Provider Demographics
NPI:1992719157
Name:SLAPNICHER, ERIC ROBERT (OD)
Entity type:Individual
Prefix:DR
First Name:ERIC
Middle Name:ROBERT
Last Name:SLAPNICHER
Suffix:
Gender:M
Credentials:OD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1011 N FRONTAGE RD
Mailing Address - Street 2:
Mailing Address - City:HASTINGS
Mailing Address - State:MN
Mailing Address - Zip Code:55033-2662
Mailing Address - Country:US
Mailing Address - Phone:651-437-5469
Mailing Address - Fax:651-437-2910
Practice Address - Street 1:1011 N FRONTAGE RD
Practice Address - Street 2:
Practice Address - City:HASTINGS
Practice Address - State:MN
Practice Address - Zip Code:55033-2662
Practice Address - Country:US
Practice Address - Phone:651-437-5469
Practice Address - Fax:651-437-2910
Is Sole Proprietor?:No
Enumeration Date:2006-07-27
Last Update Date:2008-04-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MN2879152W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes152W00000XEye and Vision Services ProvidersOptometrist
Provider Identifiers
StateIdentifier IDID TypeIssuer
MN01032768OtherPREFERRED ONE
MN2201861OtherMEDICA
MN259T0SLOtherBLUE CROSS BLUE SHIELD
MNP00098102OtherRAILROAD MEDICARE
MN130522100Medicaid
MNHP37000OtherHEALTHPARTNERS
MN2201861OtherMEDICA
U92154Medicare UPIN