Academy Contact Lens Clinic
NPI #1639202559 in New Brighton, Minnesota
Provider Information
- NPI Number
- 1639202559
- Entity Type
- Organization
- Organization Name
- Academy Contact Lens Clinic
- Primary Specialty
- Optometrist
- Enumeration Date
- Mar 13, 2007
- Last Updated
- Mar 18, 2009
Practice Location
- Address
- 2655 INNSBRUCK DR
- Address 2
- SUITE B
- City
- New Brighton
- State
- Minnesota
- ZIP Code
- 55112-9303
- Phone
- (651) 636-2020
Authorized Official
- Name
- DR. JOHN MARK CAVANAGH, O.D.
- Title
- PRESIDENT
- Phone
- (651) 636-2020
Specialties & Taxonomy Codes
| Specialty |
|---|
| Optometrist |
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