Forest Lake Optometric Center
NPI #1053473835 in Forest Lake, Minnesota
Provider Information
- NPI Number
- 1053473835
- Entity Type
- Organization
- Organization Name
- Forest Lake Optometric Center
- Primary Specialty
- Optometrist
- Enumeration Date
- Dec 15, 2006
- Last Updated
- Dec 1, 2011
Practice Location
- Address
- 20 LAKE ST N
- City
- Forest Lake
- State
- Minnesota
- ZIP Code
- 55025-2523
- Phone
- (651) 464-4824
Authorized Official
- Name
- DR. KEVIN LEE BAHR, O.D.
- Title
- DR
- Phone
- (651) 464-4824
Specialties & Taxonomy Codes
| Specialty |
|---|
| Optometrist |
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