Red Wing Optometric Clinic, P.A.
Optometrist in Red Wing, MN. Organization (NPI-2).
NPI number1003813635
StatusActive
Last updated in NPPESAug 22, 2020
Details
- NPI
- 1003813635
- Entity type
- Organization (NPI-2)
- Legal business name
- Red Wing Optometric Clinic, P.A.
- Organization subpart
- No
- Enumeration date
- Jun 28, 2005
- Last updated
- Aug 22, 2020
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 152W00000X | Optometrist | 2513 | MN | Yes |
Other names
- Eye Care Associates (Doing Business As)
Practice location
164 Tyler Rd SRed Wing, MN 55066-1733
Phone 651-388-9187
Mailing address
164 Tyler Rd SRed Wing, MN 55066-1733
Phone 651-388-9187
Authorized official
Chris J Palmer
Vice President
6513889187
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