Northwest Eye Clinic, LLC
NPI #1992044432 in Golden Valley, Minnesota
Provider Information
- NPI Number
- 1992044432
- Entity Type
- Organization
- Organization Name
- Northwest Eye Clinic, LLC
- Primary Specialty
- Ophthalmology
- Enumeration Date
- Feb 4, 2013
- Last Updated
- Mar 18, 2020
Practice Location
- Address
- 8501 GOLDEN VALLEY RD STE 100
- City
- Golden Valley
- State
- Minnesota
- ZIP Code
- 55427-4472
- Phone
- (763) 416-7600
Authorized Official
- Name
- KELLY PETTENGILL
- Title
- CREDENTIALING AND DATA MANAGEMENT
- Phone
- (763) 416-7629
Specialties & Taxonomy Codes
| Specialty |
|---|
| Ophthalmology |
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