St Croix Vision Center Inc.
NPI #1518059526 in Stillwater, Minnesota
Provider Information
- NPI Number
- 1518059526
- Entity Type
- Organization
- Organization Name
- St Croix Vision Center Inc.
- Primary Specialty
- Optometrist
- Enumeration Date
- Sep 28, 2006
- Last Updated
- Aug 16, 2012
Practice Location
- Address
- 13481 60TH ST N
- Address 2
- SUITE 200
- City
- Stillwater
- State
- Minnesota
- ZIP Code
- 55082-1055
- Phone
- (651) 439-6400
Authorized Official
- Name
- DR. TRAVIS MATTHEW JOHNSON, O.D.
- Title
- PRESIDENT
- Phone
- (651) 439-6400
Specialties & Taxonomy Codes
| Specialty |
|---|
| Optometrist - Corneal and Contact Management — Corneal and Contact Management |
| Optometrist - Pediatrics — Pediatrics |
| Optometrist - Vision Therapy — Vision Therapy |
| Optometrist |
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