Annandale Eye Clinic INC
NPI #1992995658 in Litchfield, Minnesota
Provider Information
- NPI Number
- 1992995658
- Entity Type
- Organization
- Organization Name
- Annandale Eye Clinic INC
- Primary Specialty
- Optometrist
- Enumeration Date
- Jul 30, 2007
- Last Updated
- Jul 14, 2009
Practice Location
- Address
- 135 N SIBLEY AVE
- City
- Litchfield
- State
- Minnesota
- ZIP Code
- 55355-2138
- Phone
- (320) 593-3100
Authorized Official
- Name
- DR. TERRENCE LEE TANCABEL, O.D.
- Title
- CEO
- Phone
- (320) 274-3701
Specialties & Taxonomy Codes
| Specialty |
|---|
| Optometrist |
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