Optometric Eye Care Centers, Pa

NPI 1164861357 - Optometrist - 152W00000X

NPI Details
NPI 1164861357
Enumeration Date 06/20/2013
Last Updated 06/20/2013
Entity Type Healthcare Provider
Active Over 3 years ago
Authorized Information
Name MITCHELL H MITCHELL
Position OWNER/OPTOMETRIST
Phone (763) 420-6981
Fax (763) 773-7253
Practice Location
7880 MAIN ST N
MAPLE GROVE MN, 55369-7081, US
Phone (763) 420-6981
Fax (763) 773-7253
Business Location
1202 MOORE LAKE DR E
FRIDLEY MN, 55432-5170, US
Phone (763) 574-0075
Fax (763) 574-0594
Toxanomy
Taxonomy Code 152W00000X
License State
License Number
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According to our database, Optometric Eye Care Centers, Pa NPI is 1164861357, taxonomy code is 152W00000X Optometric Eye Care Centers, Pa physically located at 7880 Main St N, Maple Grove MN, 55369-7081. NPI Number 1033115704 has the healthcare provider type.

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1164861357 NPI number is provided on an as is basis without warranty of any kind. 1164861357 is maintained by the National Plan & Provider Enumeration System. The contents of Optometric Eye Care Centers, Pa are for informational purposes only.