Eyewearspecialists
Eyewear Supplier (Equipment, not the service) in Chaska, MN. Organization (NPI-2).
NPI number1285713420
StatusActive
Last updated in NPPESJun 16, 2016
Details
- NPI
- 1285713420
- Entity type
- Organization (NPI-2)
- Legal business name
- Eyewearspecialists
- Organization subpart
- No
- Enumeration date
- Nov 6, 2006
- Last updated
- Jun 16, 2016
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 332H00000X | Eyewear Supplier (Equipment, not the service) | 4699580 | MN | Yes |
Practice location
111 Hundertmark RdSuite 105n
Chaska, MN 55318-4551
Phone 952-906-7824 · Fax 952-906-7827
Mailing address
7450 France Ave SSuite 100
Edina, MN 55435-4787
Phone 952-832-8120 · Fax 952-832-8124
Authorized official
Cheryl Mayne
Rcm Manager
9528328100
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