Advanced Vision Care Pa

NPI 1053532929 - Optometrist - 152W00000X

NPI Details
NPI 1053532929
Enumeration Date 05/01/2007
Last Updated 12/28/2011
Entity Type Healthcare Provider
Active Over 9 years ago
Authorized Information
Name VICKI S VICKI
Position OPTOMETRIST /CO-OWNER
Phone (952) 492-2350
Fax (952) 492-6162
Practice Location
223 1ST ST E STE 101
JORDAN MN, 55352-1563, US
Phone (952) 492-2350
Fax (952) 492-6162
Business Location
223 1ST ST E STE 101
JORDAN MN, 55352-1563, US
Phone (952) 492-2350
Fax (952) 492-6162
Toxanomy
Taxonomy Code 152W00000X
License State Minnesota
License Number 2848
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According to our database, Advanced Vision Care Pa NPI is 1053532929, taxonomy code is 152W00000X and license number is 2848, license state is located at Minnesota. Advanced Vision Care Pa physically located at 223 1st St E Ste 101, Jordan MN, 55352-1563. NPI Number 1033115704 has the healthcare provider type.

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1053532929 NPI number is provided on an as is basis without warranty of any kind. 1053532929 is maintained by the National Plan & Provider Enumeration System. The contents of Advanced Vision Care Pa are for informational purposes only.