Complete Eyecare P L C

NPI #1841577418 in Blaine, Minnesota

Provider Information

NPI Number: 1841577418
Entity Type: Organization
Organization Name: Complete Eyecare P L C
Primary Specialty: Optometrist
Enumeration Date: Nov 10, 2011
Last Updated: Nov 10, 2011

Practice Location

Address: 260 NORTHTOWN DR NE
City: Blaine
State: Minnesota
ZIP Code: 55434-1037
Phone: (763) 784-9049

Authorized Official

Name: CHAD KRIETLOW, OD
Title: PARTNER
Phone: (763) 784-9049

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Optometrist	152W00000X	Primary

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