Mankato Optical INC

NPI #1346322609 in Mankato, Minnesota

Provider Information

NPI Number: 1346322609
Entity Type: Organization
Organization Name: Mankato Optical INC
Subpart: Yes (part of a larger organization)
Parent Organization: MANKATO OPTICAL INC DBA EYE Q VISION
Primary Specialty: Technician/Technologist
Enumeration Date: Oct 19, 2006
Last Updated: Aug 4, 2008

Practice Location

Address: 1400 MADISON AVE
Address 2: SUITE 338
City: Mankato
State: Minnesota
ZIP Code: 56001
Phone: (507) 387-6695

Authorized Official

Name: CHRISTINE L GIESLER
Title: CFO
Phone: (507) 387-6695

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Eyewear Supplier	332H00000X
Technician/Technologist	156F00000X	Primary

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