Total Eye Care LLC
Ophthalmology in Wyoming, MN. Organization (NPI-2).
NPI number1124166558
StatusActive
Last updated in NPPESJul 11, 2023
Details
- NPI
- 1124166558
- Entity type
- Organization (NPI-2)
- Legal business name
- Total Eye Care LLC
- Organization subpart
- No
- Enumeration date
- Feb 1, 2007
- Certification date
- Jul 11, 2023
- Last updated
- Jul 11, 2023
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 207W00000X | Ophthalmology | – | – | Yes |
| 152W00000X | Optometrist | – | – |
Other names
- Total Eye Care LLC (Doing Business As)
Practice location
5200 Fairview BlvdWyoming, MN 55092-8013
Phone 651-257-8421 · Fax 651-257-8464
Mailing address
11725 Stinson AveChisago City, MN 55013-9542
Phone 651-257-8421 · Fax 651-257-8464
Authorized official
Crystal Randby
Billing
6512133369
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