Minnesota Eye Consultants, PA

NPI #1861465064 in Maplewood, Minnesota

Provider Information

NPI Number: 1861465064
Entity Type: Organization
Organization Name: Minnesota Eye Consultants, PA
Primary Specialty: Ophthalmology
Enumeration Date: Feb 8, 2006
Last Updated: Feb 22, 2017

Practice Location

Address: 1965 11TH AVE E
Address 2: SUITE 102
City: Maplewood
State: Minnesota
ZIP Code: 55109-5167
Phone: (952) 888-5800

Authorized Official

Name: BRENT L WILDE
Title: PRESIDENT
Phone: (952) 888-5800

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Optometrist - Corneal and Contact Management — Corneal and Contact Management	152WC0802X
Eyewear Supplier	332H00000X
Clinical Medical Laboratory	291U00000X
Ophthalmology	207W00000X	Primary

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