Advanced Vision Clinic and Optical LLC

NPI #1093888349 in Oakdale, Minnesota

Provider Information

NPI Number: 1093888349
Entity Type: Organization
Organization Name: Advanced Vision Clinic and Optical LLC
Primary Specialty: Optometrist
Enumeration Date: Nov 16, 2006
Last Updated: Aug 22, 2020

Practice Location

Address: 1099 HELMO AVE N
Address 2: SUITE 150
City: Oakdale
State: Minnesota
ZIP Code: 55128-6033
Phone: (651) 739-3937

Authorized Official

Name: ANGELA PORCH JOHNSON, OD
Title: OWNER MEMBER
Phone: (651) 270-1621

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Optometrist	152W00000X	Primary

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