Nicollet Vision Care Optometrists P.a.

NPI 1003026923 - Optometrist - 152W00000X

NPI Details
NPI 1003026923
Enumeration Date 05/22/2007
Last Updated 07/08/2007
Entity Type Healthcare Provider
Active Over 9 years ago
Authorized Information
Name LINDA MARIE LINDA
Position C.E.O.
Phone (612) 822-7021
Fax
Practice Location
3142 HENNEPIN AVE
MINNEAPOLIS MN, 55408-2619, US
Phone (612) 822-7021
Fax
Business Location
3142 HENNEPIN AVE
MINNEAPOLIS MN, 55408-2619, US
Phone (612) 822-7021
Fax
Toxanomy
Taxonomy Code 152W00000X
License State Minnesota
License Number 2219
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According to our database, Nicollet Vision Care Optometrists P.a. NPI is 1003026923, taxonomy code is 152W00000X and license number is 2219, license state is located at Minnesota. Nicollet Vision Care Optometrists P.a. physically located at 3142 Hennepin Ave, Minneapolis MN, 55408-2619. NPI Number 1033115704 has the healthcare provider type.

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1003026923 NPI number is provided on an as is basis without warranty of any kind. 1003026923 is maintained by the National Plan & Provider Enumeration System. The contents of Nicollet Vision Care Optometrists P.a. are for informational purposes only.