Don Sealock, O.D., P.A.
Eyewear Supplier (Equipment, not the service) in Saint Michael, MN. Organization (NPI-2).
NPI number1548719081
StatusActive
Last updated in NPPESSep 26, 2016
Details
- NPI
- 1548719081
- Entity type
- Organization (NPI-2)
- Legal business name
- Don Sealock, O.D., P.A.
- Organization subpart
- Yes
- Enumeration date
- Sep 26, 2016
- Last updated
- Sep 26, 2016
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 332H00000X | Eyewear Supplier (Equipment, not the service) | – | – | Yes |
Other names
- Eyecare Center Of St. Michael (Doing Business As)
Practice location
400 Central Ave ESaint Michael, MN 55376-9525
Phone 763-497-2020 · Fax 763-497-3220
Mailing address
400 Central Ave ESaint Michael, MN 55376-9525
Phone 763-497-2020 · Fax 763-497-3220
Authorized official
Jennie J Sealock
Secr/Treas
7635510529
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