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Nicollet Vision Care Optometrists P.A.

Optometrist, Pediatrics in Minneapolis, MN. Organization (NPI-2).

NPI number1760636286
StatusActive
Last updated in NPPESNov 11, 2008

Details

NPI
1760636286
Entity type
Organization (NPI-2)
Legal business name
Nicollet Vision Care Optometrists P.A.
Organization subpart
No
Enumeration date
Nov 11, 2008
Last updated
Nov 11, 2008

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
152WP0200X Optometrist, Pediatrics2219MNYes

Other names

  • The Glasses Menagerie (Doing Business As)

Practice location

3142 Hennepin Ave S
Minneapolis, MN 55408-2619

Phone 612-822-7021 · Fax 612-822-6123

Mailing address

3142 Hennepin Ave S
Minneapolis, MN 55408-2619

Phone 612-822-7021 · Fax 612-822-6123

Authorized official

Linda Marie Chous
Owner
6128227021

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