F & G Optical INC

NPI #1679643100 in Wayzata, Minnesota

Provider Information

NPI Number: 1679643100
Entity Type: Organization
Organization Name: F & G Optical INC
Primary Specialty: Optometrist
Enumeration Date: Nov 9, 2006
Last Updated: Apr 8, 2013

Practice Location

Address: 852 LAKE ST E
Address 2: UNIT A
City: Wayzata
State: Minnesota
ZIP Code: 55391-4523
Phone: (952) 476-4185

Authorized Official

Name: MS. VIRGINIA DOMAIN
Title: CFO
Phone: (952) 476-4185

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Durable Medical Equipment & Medical Supplies	332B00000X
Optometrist	152W00000X	Primary

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