Crossroads Optometric Clinic, Inc.

NPI #1164448627 in Prior Lake, Minnesota

Provider Information

NPI Number: 1164448627
Entity Type: Organization
Organization Name: Crossroads Optometric Clinic, Inc.
Primary Specialty: Optometrist
Enumeration Date: Jul 15, 2006
Last Updated: Dec 8, 2020

Practice Location

Address: 16250 DULUTH AVE SE STE 100
City: Prior Lake
State: Minnesota
ZIP Code: 55372-2883
Phone: (952) 447-2020

Authorized Official

Name: LISA ANNE DAWSON-CLAUSEN, OD
Title: OWNER/OPTOMETRIST
Phone: (952) 447-2020

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Optometrist	152W00000X	Primary

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