St Anthony Optometric Clinic
NPI #1205953437 in St Anthony, Minnesota
Provider Information
- NPI Number
- 1205953437
- Entity Type
- Organization
- Organization Name
- St Anthony Optometric Clinic
- Primary Specialty
- Clinic/Center - Primary Care
- Enumeration Date
- Mar 23, 2007
- Last Updated
- Aug 22, 2020
Practice Location
- Address
- 2929 PENTAGON DR
- City
- St Anthony
- State
- Minnesota
- ZIP Code
- 55418-3208
- Phone
- (612) 781-4730
Authorized Official
- Name
- DR. TODD JEFFREY HANSON, OD
- Title
- PRESIDENT OWNER
- Phone
- (612) 781-4730
Specialties & Taxonomy Codes
| Specialty |
|---|
| Clinic/Center - Primary Care — Primary Care |
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