Roseville Opticians

NPI #1992937338 in Saint Paul, Minnesota

Provider Information

NPI Number
1992937338
Entity Type
Organization
Organization Name
Roseville Opticians
Subpart
Yes (part of a larger organization)
Parent Organization
KENNEDY EYE ASSOCIATES
Primary Specialty
Technician/Technologist - Optician
Enumeration Date
Aug 19, 2009
Last Updated
Aug 19, 2009

Practice Location

Address
1790 LEXINGTON AVE N
ZIP Code
55113-6167
Phone
(651) 489-8800

Authorized Official

Name
ROBERT B KENNEDY, O.D.
Title
PRESIDENT
Phone
(651) 489-8800

Specialties & Taxonomy Codes

Specialty
Technician/Technologist - OpticianOptician

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