Bright Eyes Vision Clinic, PA

NPI #1720113947 in Otsego, Minnesota

Provider Information

NPI Number: 1720113947
Entity Type: Organization
Organization Name: Bright Eyes Vision Clinic, PA
Primary Specialty: Optometrist
Enumeration Date: Feb 21, 2007
Last Updated: Aug 22, 2020

Practice Location

Address: 9125 QUADAY AVE NE
Address 2: SUITE 104
City: Otsego
State: Minnesota
ZIP Code: 55330-6651
Phone: (763) 241-1090

Authorized Official

Name: JILL AK HADLER, OD
Title: CEO AND PRESIDENT
Phone: (763) 241-1090

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Optometrist	152W00000X	Primary

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