Charles R Mead

NPI #1306161187 in Woodbury, Minnesota

Provider Information

NPI Number: 1306161187
Entity Type: Organization
Organization Name: Charles R Mead
Primary Specialty: Optometrist
Enumeration Date: Apr 5, 2010
Last Updated: Apr 2, 2018

Practice Location

Address: 1502 WOODLANE DR
City: Woodbury
State: Minnesota
ZIP Code: 55125-2221
Phone: (651) 735-9550

Authorized Official

Name: AUDREY MEAD
Title: PRACTICE MANAGER
Phone: (651) 735-9550

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Optometrist - Corneal and Contact Management — Corneal and Contact Management	152WC0802X
Optometrist - Pediatrics — Pediatrics	152WP0200X
Optometrist - Sports Vision — Sports Vision	152WS0006X
Optometrist - Vision Therapy — Vision Therapy	152WV0400X
Technician/Technologist - Optometric Technician — Optometric Technician	156FX1202X
Technician/Technologist - Optician — Optician	156FX1800X
Optometrist	152W00000X	Primary

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