1815 Vision LLC
NPI #1992460166 in Brooklyn Center, Minnesota
Provider Information
- NPI Number
- 1992460166
- Entity Type
- Organization
- Organization Name
- 1815 Vision LLC
- Primary Specialty
- Optometrist
- Enumeration Date
- Nov 3, 2021
- Last Updated
- Nov 3, 2021
Practice Location
- Address
- 5515 XERXES AVE N
- City
- Brooklyn Center
- State
- Minnesota
- ZIP Code
- 55430-2856
- Phone
- (763) 560-1636
Authorized Official
- Name
- JAMES HAWLEY
- Title
- OWNER
- Phone
- (612) 599-0153
Specialties & Taxonomy Codes
| Specialty |
|---|
| Optometrist |
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