Opti-Min PA

NPI #1780696146 in St Louis Park, Minnesota

Provider Information

NPI Number: 1780696146
Entity Type: Organization
Organization Name: Opti-Min PA
Primary Specialty: Ophthalmology
Enumeration Date: Aug 13, 2006
Last Updated: Nov 18, 2010

Practice Location

Address: 7415 WAYZATA BLVD
City: St Louis Park
State: Minnesota
ZIP Code: 55426-1607
Phone: (952) 475-3787

Authorized Official

Name: MR. DAVID WHITING, MD
Title: OWNER
Phone: (952) 475-3787

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Optometrist	152W00000X
Ophthalmology	207W00000X	Primary

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