Jd Eyes, INC

NPI #1609292077 in Coon Rapids, Minnesota

Provider Information

NPI Number: 1609292077
Entity Type: Organization
Organization Name: Jd Eyes, INC
Primary Specialty: Optometrist
Enumeration Date: Mar 10, 2014
Last Updated: Mar 10, 2014

Practice Location

Address: 12771 RIVERDALE BLVD NW
Address 2: SUITE 103
City: Coon Rapids
State: Minnesota
ZIP Code: 55448-1262
Phone: (763) 421-1220

Authorized Official

Name: DR. KARA DURICK JOHNSON, O.D.
Title: VICE PRESIDENT
Phone: (763) 355-8512

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Optometrist	152W00000X	Primary

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