St Peter Eyecare Center, INC

NPI #1972657658 in Le Center, Minnesota

Provider Information

NPI Number: 1972657658
Entity Type: Organization
Organization Name: St Peter Eyecare Center, INC
Subpart: Yes (part of a larger organization)
Parent Organization: ST PETER EYECARE CENTER, INC
Primary Specialty: Optometrist
Enumeration Date: Jan 22, 2007
Last Updated: Jun 18, 2008

Practice Location

Address: 1 E MINNESOTA ST
City: Le Center
State: Minnesota
ZIP Code: 56057-1501
Phone: (507) 357-6665

Authorized Official

Name: DR. BLAKE THOMAS DIRKS, OD
Title: OPTOMETRIST
Phone: (507) 931-6436

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Optometrist	152W00000X	Primary

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