Minnesota Optical LLC

NPI #1831303437 in Elk River, Minnesota

Provider Information

NPI Number
1831303437
Entity Type
Organization
Organization Name
Minnesota Optical LLC
Primary Specialty
Optometrist
Enumeration Date
May 10, 2007
Last Updated
Mar 9, 2012

Practice Location

Address
19576 HOLT ST NW
ZIP Code
55330
Phone
(763) 241-2083

Authorized Official

Name
GARY TONSAGER
Title
CHIEF OFFICER
Phone
(763) 241-2083

Specialties & Taxonomy Codes

Specialty
Optometrist

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