Vista Family Eye Care LLC

NPI #1235642513 in Coon Rapids, Minnesota

Provider Information

NPI Number: 1235642513
Entity Type: Organization
Organization Name: Vista Family Eye Care LLC
Primary Specialty: Optometrist
Enumeration Date: Nov 9, 2017
Last Updated: May 31, 2018

Practice Location

Address: 9920 FOLEY BLVD NW STE 120
City: Coon Rapids
State: Minnesota
ZIP Code: 55433
Phone: (763) 843-7153

Authorized Official

Name: DR. VIVIAN O EKEMEZIE, OD
Title: OPTOMETRIST
Phone: (763) 843-7153

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Optometrist	152W00000X	Primary

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