Northern Minnesota Eye Care Llc

NPI 1407943897 - Optometrist - 152W00000X

NPI Details
NPI 1407943897
Enumeration Date 10/06/2006
Last Updated 07/08/2007
Entity Type Healthcare Provider
Active Over 10 years ago
Authorized Information
Name SASHA NIRANJALI SASHA
Position PRESIDENT
Phone (773) 495-9669
Fax
Practice Location
1416 S 12TH AVE
VIRGINIA MN, 55792-3247, US
Phone (773) 495-9669
Fax
Business Location
1010 22ND ST
APT 301
CLOQUET MN, 55720-2876, US
Phone (773) 495-9669
Fax
Toxanomy
Taxonomy Code 152W00000X
License State Minnesota
License Number 2979/2974
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According to our database, Northern Minnesota Eye Care Llc NPI is 1407943897, taxonomy code is 152W00000X and license number is 2979/2974, license state is located at Minnesota. Northern Minnesota Eye Care Llc physically located at 1416 S 12th Ave, Virginia MN, 55792-3247. NPI Number 1033115704 has the healthcare provider type.

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1407943897 NPI number is provided on an as is basis without warranty of any kind. 1407943897 is maintained by the National Plan & Provider Enumeration System. The contents of Northern Minnesota Eye Care Llc are for informational purposes only.