Lake Region Eye Center

NPI #1528066651 in Alexandria, Minnesota

Provider Information

NPI Number: 1528066651
Entity Type: Organization
Organization Name: Lake Region Eye Center
Primary Specialty: Optometrist
Enumeration Date: Jul 12, 2005
Last Updated: Apr 4, 2017

Practice Location

Address: 610 30TH AVE W
Address 2: STE 200
City: Alexandria
State: Minnesota
ZIP Code: 56308-3426
Phone: (320) 763-7055

Authorized Official

Name: DAVID SCHNEIDERHAN
Title: OWNER/OPTICIAN
Phone: (320) 763-7055

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Optometrist	152W00000X	Primary

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