Monticello Optical Center Inc.
NPI #1629591490 in Monticello, Minnesota
Provider Information
- NPI Number
- 1629591490
- Entity Type
- Organization
- Organization Name
- Monticello Optical Center Inc.
- Primary Specialty
- Optometrist
- Enumeration Date
- Jul 24, 2017
- Last Updated
- Jul 24, 2017
Practice Location
- Address
- 261 E BROADWAY ST
- City
- Monticello
- State
- Minnesota
- ZIP Code
- 55362-9317
- Phone
- (763) 295-5292
Authorized Official
- Name
- DR. JOHN MARK CAVANAGH, O.D.
- Title
- PRESIDENT
- Phone
- (651) 636-2020
Specialties & Taxonomy Codes
| Specialty |
|---|
| Optometrist |
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