Minnesota Vision Outreach, INC

NPI #1457563827 in Plymouth, Minnesota

Provider Information

NPI Number: 1457563827
Entity Type: Organization
Organization Name: Minnesota Vision Outreach, INC
Primary Specialty: Optometrist
Enumeration Date: May 5, 2007
Last Updated: Nov 10, 2016

Practice Location

Address: 9905 45TH AVENUE NORTH
Address 2: SUITE 110
City: Plymouth
State: Minnesota
ZIP Code: 55422-3315
Phone: (763) 595-8414

Authorized Official

Name: DR. SAMUEL WOLFSON, O.D.
Title: OWNER
Phone: (763) 585-8414

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Optometrist	152W00000X	Primary

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