| |
2200 3rd St, Saint Paul, MN 55110-3273 | |
(651) 426-0320 | |
(651) 426-0326 |
Full Name | |
---|---|
Type | Facility |
Speciality | Eyewear Supplier |
Location | 2200 3rd St, Saint Paul, Minnesota |
Accepts Medicare Assignments | Does not participate in Medicare Program. The facility may not accept medicare assignment. |
Identifier | Type | State | Issuer |
---|---|---|---|
1578822540 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
152W00000X | Optometrist | (* (Not Available)) | Secondary |
332H00000X | Eyewear Supplier | (* (Not Available)) | Primary |
Mailing Address | Practice Location Address |
---|---|
2200 3rd St, Saint Paul, MN 55110-3273 Ph: (651) 426-0320 | 2200 3rd St, Saint Paul, MN 55110-3273 Ph: (651) 426-0320 |