Eagan Eye Clinic LLC

NPI #1023615069 in Becker, Minnesota

Provider Information

NPI Number
1023615069
Entity Type
Organization
Organization Name
Eagan Eye Clinic LLC
Subpart
Yes (part of a larger organization)
Parent Organization
EAGAN EYE CLINIC LLC
Primary Specialty
Optometrist
Enumeration Date
Oct 2, 2020
Last Updated
Oct 2, 2020

Practice Location

Address
12390 SHERBURNE AVE
City
Becker
ZIP Code
55308-9147
Phone
(632) 441-7007

Authorized Official

Name
BENJAMIN S. CHUDNER, OD
Title
PRESIDENT
Phone
(972) 370-5552

Specialties & Taxonomy Codes

Specialty
Optometrist

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