ASSOCIATED EYE CARE OPTICAL LLC NPI 1215945092

NPI Information

ASSOCIATED EYE CARE OPTICAL LLC is an eyewear supplier in Woodbury, MN. The provider is an organization that provides spectacles, contact lenses, and other vision enhancement devices prescribed by an optometrist or ophthalmologist. ASSOCIATED EYE CARE OPTICAL LLC NPI is 1215945092. The provider is registered as an organization entity type.

The provider's business location address is:

1625 RADIO DR
SUITE 310
WOODBURY, MN
ZIP 55125-407
Phone: (651) 275-3000
Fax: (651) 275-3027

The provider's authorized official is Stephen S Lane .
The authorized official title is President and has the following contact phone number (651) 275-3000.

The CLIA number assigned to this NPI record is 52D2052841 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 8/4/2006 and was last updated on 6/10/2013.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

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