Optom Spot PC

NPI #1548028699 in South St Paul, Minnesota

Provider Information

NPI Number: 1548028699
Entity Type: Organization
Organization Name: Optom Spot PC
Primary Specialty: Optometrist
Enumeration Date: Mar 12, 2024
Last Updated: Mar 12, 2024

Practice Location

Address: 903 20TH AVE N
City: South St Paul
State: Minnesota
ZIP Code: 55075-1311
Phone: (612) 338-7551

Authorized Official

Name: SHIKHA MEHTA, OD
Title: AUTHORIZED OFFICIAL/OD
Phone: (401) 529-9964

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Optometrist	152W00000X	Primary

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