Progressive Eyecare Associates

NPI #1356556500 in Shoreview, Minnesota

Provider Information

NPI Number: 1356556500
Entity Type: Organization
Organization Name: Progressive Eyecare Associates
Primary Specialty: Ophthalmology
Enumeration Date: May 11, 2007
Last Updated: Aug 22, 2020

Practice Location

Address: 4625 CHURCHILL STREET
Address 2: SUITE 210
City: Shoreview
State: Minnesota
ZIP Code: 55126
Phone: (651) 645-3997

Authorized Official

Name: DIANNA L KENT
Title: PRACTICE ADMINISTRATOR
Phone: (651) 645-3997

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Ophthalmology	207W00000X	Primary

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