Capital Family Eye Clinic Llc | |
941 Payne Ave, Saint Paul, MN 55130-4003 | |
(608) 738-5755 | |
Not Available |
Full Name | Capital Family Eye Clinic Llc |
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Type | Facility |
Speciality | Optometrist |
Location | 941 Payne Ave, Saint Paul, Minnesota |
Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1376713966 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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152W00000X | Optometrist | 3001 (Minnesota) | Primary |
Provider Name | Se C Xiong |
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Provider Type | Practitioner - Optometry |
Provider Identifiers | NPI Number: 1184731432 PECOS PAC ID: 1355368002 Enrollment ID: I20080507000014 |
Mailing Address | Practice Location Address |
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Capital Family Eye Clinic Llc 6332 Highland Hills Blvd S, Cottage Grove, MN 55016-4478 Ph: (608) 738-5755 | Capital Family Eye Clinic Llc 941 Payne Ave, Saint Paul, MN 55130-4003 Ph: (608) 738-5755 |
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