Andover Optical INC

NPI #1972663383 in Andover, Minnesota

Provider Information

NPI Number: 1972663383
Entity Type: Organization
Organization Name: Andover Optical INC
Primary Specialty: Technician/Technologist - Contact Lens Fitter
Enumeration Date: Dec 8, 2006
Last Updated: Feb 6, 2008

Practice Location

Address: 13855 ROUND LAKE BLVD NW
City: Andover
State: Minnesota
ZIP Code: 55304-3664
Phone: (763) 421-0141

Authorized Official

Name: MS. LAINE SANGREN
Title: VICE PRES
Phone: (763) 421-0141

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Technician/Technologist - Contact Lens — Contact Lens	156FC0800X
Technician/Technologist - Optician — Optician	156FX1800X
Technician/Technologist - Contact Lens Fitter — Contact Lens Fitter	156FC0801X	Primary

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