Don Sealock, O.d., P.a.

NPI #1295284735 in Buffalo, Minnesota

Provider Information

NPI Number
1295284735
Entity Type
Organization
Organization Name
Don Sealock, O.d., P.a.
Subpart
Yes (part of a larger organization)
Parent Organization
DON SEALOCK, O.D., P.A.
Primary Specialty
Eyewear Supplier
Enumeration Date
Sep 26, 2016
Last Updated
Sep 26, 2016

Practice Location

Address
94 14TH ST NE
Address 2
STE 2
ZIP Code
55313-1932
Phone
(763) 682-2020

Authorized Official

Name
JENNIE J SEALOCK
Title
SECR/TREAS
Phone
(763) 551-0529

Specialties & Taxonomy Codes

Specialty
Eyewear Supplier

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