MINNESOTA EYE CONSULTANTS PA NPI 1326019829

NPI Information

MINNESOTA EYE CONSULTANTS, PA is an eyewear supplier in Bloomington, MN. The provider is an organization that provides spectacles, contact lenses, and other vision enhancement devices prescribed by an optometrist or ophthalmologist. MINNESOTA EYE CONSULTANTS, PA NPI is 1326019829. The provider is registered as an organization entity type.

The provider's business location address is:

9801 DUPONT AVE SOUTH
SUITE 200
BLOOMINGTON, MN
ZIP 55431-180
Phone: (952) 888-5800
Fax: (952) 567-6156

The provider's authorized official is Brent Lee Wilde .
The authorized official title is President/coo and has the following contact phone number (952) 567-6043.

The enumeration date for this NPI number is 2/1/2006 and was last updated on 4/24/2017.

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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