Icare Optical, LLC
NPI #1770913626 in Saint Paul, Minnesota
Provider Information
- NPI Number
- 1770913626
- Entity Type
- Organization
- Organization Name
- Icare Optical, LLC
- Primary Specialty
- Durable Medical Equipment & Medical Supplies - Customized Equipment
- Enumeration Date
- Nov 13, 2013
- Last Updated
- Nov 13, 2013
Practice Location
- Address
- 1001 JOHNSON PKWY
- Address 2
- STE 271
- City
- Saint Paul
- State
- Minnesota
- ZIP Code
- 55106-3474
- Phone
- (651) 315-1766
Authorized Official
- Name
- MR. CHONBURI LEE
- Title
- OWNER
- Phone
- (651) 373-0914
Specialties & Taxonomy Codes
| Specialty |
|---|
| Durable Medical Equipment & Medical Supplies - Customized Equipment — Customized Equipment |
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