Don Sealock, O.d., P.a.

NPI #1861941312 in Mound, Minnesota

Provider Information

NPI Number: 1861941312
Entity Type: Organization
Organization Name: Don Sealock, O.d., P.a.
Subpart: Yes (part of a larger organization)
Parent Organization: DON SEALOCK, O.D., P.A.
Primary Specialty: Eyewear Supplier
Enumeration Date: Sep 26, 2016
Last Updated: Sep 26, 2016

Practice Location

Address: 2169 COMMERCE BLVD
City: Mound
State: Minnesota
ZIP Code: 55364-1570
Phone: (952) 472-3366

Authorized Official

Name: JENNIE J SEALOCK
Title: SECR/TREAS
Phone: (763) 551-0529

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Eyewear Supplier	332H00000X	Primary

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