River Lake Clinic LLC
NPI #1902932965 in Minneapolis, Minnesota
Provider Information
- NPI Number
- 1902932965
- Entity Type
- Organization
- Organization Name
- River Lake Clinic LLC
- Primary Specialty
- Optometrist - Occupational Vision
- Enumeration Date
- Feb 26, 2007
- Last Updated
- Jan 30, 2014
Practice Location
- Address
- 4323 E LAKE ST
- City
- Minneapolis
- State
- Minnesota
- ZIP Code
- 55406-2307
- Phone
- (612) 722-1003
Authorized Official
- Name
- DR. MICHEL E. HANEN-SMITH, O. D., M. S.
- Title
- MEMBER
- Phone
- (612) 722-1003
Specialties & Taxonomy Codes
| Specialty |
|---|
| Optometrist - Occupational Vision — Occupational Vision |
| Optometrist - Vision Therapy — Vision Therapy |
| Optometrist |
| Optometrist - Corneal and Contact Management — Corneal and Contact Management |
| Optometrist - Low Vision Rehabilitation — Low Vision Rehabilitation |
| Optometrist - Pediatrics — Pediatrics |
| Optometrist - Sports Vision — Sports Vision |
| Psychologist |
| Psychologist - Family — Family |
| Psychologist - Counseling — Counseling |
| Psychologist - Adult Development & Aging — Adult Development & Aging |
| Psychologist - Cognitive & Behavioral — Cognitive & Behavioral |
| Psychologist - Forensic — Forensic |
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| Matthew William Grange, O.D. | |
| Denise Renee Kniefel, O.D. | |
| Steven Jay Lusch, O.D. | |
| Meghan Earley, O.D. | |
| Charlotte Mae Farmer, RN, MA, CNP |
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