Pbr Optometrists Ltd of Tracy

NPI #1659426658 in Tracy, Minnesota

Provider Information

NPI Number: 1659426658
Entity Type: Organization
Organization Name: Pbr Optometrists Ltd of Tracy
Primary Specialty: Optometrist
Enumeration Date: Jan 23, 2007
Last Updated: Apr 4, 2008

Practice Location

Address: 505 STATE STREET
City: Tracy
State: Minnesota
ZIP Code: 56175-1539
Phone: (507) 629-3230

Authorized Official

Name: DR. STEVEN J PETERSON, OD
Title: DIRECT OWNER OF 5 PERCENT OR MORE
Phone: (507) 629-3230

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Optometrist	152W00000X	Primary

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