Blaine Eye Clinic Optometrists, P.a.

NPI #1043363401 in Blaine, Minnesota

Provider Information

NPI Number
1043363401
Entity Type
Organization
Organization Name
Blaine Eye Clinic Optometrists, P.a.
Primary Specialty
Durable Medical Equipment & Medical Supplies
Enumeration Date
Jan 19, 2007
Last Updated
Feb 15, 2011

Practice Location

Address
12170 ABERDEEN ST NE
City
Blaine
ZIP Code
55449-4716
Phone
(763) 757-7000

Authorized Official

Name
LYNN ALAN SULERUD, O.D.
Title
OWNER
Phone
(763) 757-7000

Specialties & Taxonomy Codes

Specialty
Optometrist
Durable Medical Equipment & Medical Supplies

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