Icare Family Vision Plc
NPI #1003359597 in St Louis Park, Minnesota
Provider Information
- NPI Number
- 1003359597
- Entity Type
- Organization
- Organization Name
- Icare Family Vision Plc
- Primary Specialty
- Optometrist
- Enumeration Date
- Dec 1, 2016
- Last Updated
- Oct 25, 2022
Practice Location
- Address
- 6900 W LAKE ST
- City
- St Louis Park
- State
- Minnesota
- ZIP Code
- 55426-4209
- Phone
- (952) 222-3578
Authorized Official
- Name
- ELIZABETH JOHNSON
- Title
- OWNER
- Phone
- (952) 222-3578
Specialties & Taxonomy Codes
| Specialty |
|---|
| Optometrist |
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