North Suburban Optical
NPI #1285084954 in Saint Paul, Minnesota
Provider Information
- NPI Number
- 1285084954
- Entity Type
- Organization
- Organization Name
- North Suburban Optical
- Primary Specialty
- Eyewear Supplier
- Enumeration Date
- Jun 14, 2016
- Last Updated
- Nov 9, 2018
Practice Location
- Address
- 4520 CENTERVILLE RD
- City
- Saint Paul
- State
- Minnesota
- ZIP Code
- 55127-3602
- Phone
- (763) 421-7420
Authorized Official
- Name
- DELTA JORGENSEN
- Title
- ORGANIZATIONAL LIAISON
- Phone
- (763) 592-8413
Specialties & Taxonomy Codes
| Specialty |
|---|
| Eyewear Supplier |
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