Visionary Optical LLC
NPI #1679860811 in Oak Park Heights, Minnesota
Provider Information
- NPI Number
- 1679860811
- Entity Type
- Organization
- Organization Name
- Visionary Optical LLC
- Primary Specialty
- Optometrist
- Enumeration Date
- Jul 8, 2011
- Last Updated
- Jul 8, 2011
Practice Location
- Address
- 5815 NORELL AVE N
- City
- Oak Park Heights
- State
- Minnesota
- ZIP Code
- 55082-1766
- Phone
- (651) 351-3976
Authorized Official
- Name
- DR. CHAD THEODORE BOGREN, O.D.
- Title
- OPTOMETRIST
- Phone
- (763) 370-2479
Specialties & Taxonomy Codes
| Specialty |
|---|
| Optometrist |
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