Prodigy Optical, INC

NPI #1457549800 in Richmond, Minnesota

Provider Information

NPI Number: 1457549800
Entity Type: Organization
Organization Name: Prodigy Optical, INC
Primary Specialty: Eyewear Supplier
Enumeration Date: Oct 11, 2007
Last Updated: Oct 11, 2007

Practice Location

Address: 314 IVY AVE SE
City: Richmond
State: Minnesota
ZIP Code: 56368-4509
Phone: (320) 597-5252

Authorized Official

Name: MRS. DIANE WOJTANOWICZ
Title: OWNER
Phone: (320) 597-5252

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Eyewear Supplier	332H00000X	Primary

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