Distinctive Eyewear

NPI 1033291612 - Technician/Technologist - 156FX1800X

NPI Details
NPI 1033291612
Enumeration Date 10/20/2006
Last Updated 08/01/2011
Entity Type Healthcare Provider
Active Over 10 years ago
Authorized Information
Name AUDREY IRENE AUDREY
Position BUSINESS OFFICE SUPERVISOR
Phone (763) 416-7600
Fax
Practice Location
5657 DULUTH ST
GOLDEN VALLEY MN, 55422-4054, US
Phone (763) 416-7600
Fax
Business Location
5657 DULUTH ST
GOLDEN VALLEY MN, 55422-4054, US
Phone (763) 416-7600
Fax (763) 542-9708
Toxanomy
Taxonomy Code 156FX1800X
License State
License Number
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According to our database, Distinctive Eyewear NPI is 1033291612, taxonomy code is 156FX1800X Distinctive Eyewear physically located at 5657 Duluth St, Golden Valley MN, 55422-4054. NPI Number 1033115704 has the healthcare provider type.

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1033291612 NPI number is provided on an as is basis without warranty of any kind. 1033291612 is maintained by the National Plan & Provider Enumeration System. The contents of Distinctive Eyewear are for informational purposes only.