Spedale Optics LLC

NPI #1972829208 in Rogers, Minnesota

Provider Information

NPI Number
1972829208
Entity Type
Organization
Organization Name
Spedale Optics LLC
Primary Specialty
Technician/Technologist - Optician
Enumeration Date
Apr 12, 2010
Last Updated
Apr 12, 2010

Practice Location

Address
14165 JAMES RD
Address 2
SUITE 106
City
Rogers
ZIP Code
55374-9317
Phone
(763) 515-6065

Authorized Official

Name
MR. DAVID ULRICH
Title
OWNER
Phone
(651) 636-6464

Specialties & Taxonomy Codes

Specialty
Technician/Technologist - OpticianOptician

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