The Spectacle Shoppe Inc

NPI 1235457722 - Optometrist - 152W00000X

NPI Details
NPI 1235457722
Enumeration Date 05/10/2010
Last Updated 05/10/2010
Entity Type Healthcare Provider
Active Over 6 years ago
Authorized Information
Name DAVID DAVID
Position OWNER
Phone (952) 892-6666
Fax (952) 892-6876
Practice Location
1178 BURNSVILLE CTR
SUITE 201
BURNSVILLE MN, 55306-6218, US
Phone (952) 892-6666
Fax (952) 892-6876
Business Location
1178 BURNSVILLE CTR
SUITE 201
BURNSVILLE MN, 55306-6218, US
Phone (952) 892-6666
Fax (952) 892-6876
Toxanomy
Taxonomy Code 152W00000X
License State Minnesota
License Number 0136
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According to our database, The Spectacle Shoppe Inc NPI is 1235457722, taxonomy code is 152W00000X and license number is 0136, license state is located at Minnesota. The Spectacle Shoppe Inc physically located at 1178 Burnsville Ctr, Burnsville MN, 55306-6218. NPI Number 1033115704 has the healthcare provider type.

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1235457722 NPI number is provided on an as is basis without warranty of any kind. 1235457722 is maintained by the National Plan & Provider Enumeration System. The contents of The Spectacle Shoppe Inc are for informational purposes only.