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7731 Flying Cloud Dr, Eden Prairie, MN 55344-3708 | |
(952) 334-1034 | |
Not Available |
Full Name | |
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Type | Facility |
Speciality | Ophthalmology |
Location | 7731 Flying Cloud Dr, Eden Prairie, Minnesota |
Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
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1821586801 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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152W00000X | Optometrist | MN3038 (Minnesota) | Secondary |
207W00000X | Ophthalmology | (* (Not Available)) | Primary |
Provider Name | Saiyid J Hasan |
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Provider Type | Practitioner - Ophthalmology |
Provider Identifiers | NPI Number: 1356317705 PECOS PAC ID: 6204865900 Enrollment ID: I20050811000802 |
Provider Name | Afira Hasan |
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Provider Type | Practitioner - Optometry |
Provider Identifiers | NPI Number: 1073534913 PECOS PAC ID: 2062422074 Enrollment ID: I20060504000226 |
Mailing Address | Practice Location Address |
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7731 Flying Cloud Dr, Eden Prairie, MN 55344-3708 Ph: (524) 867-8589 | 7731 Flying Cloud Dr, Eden Prairie, MN 55344-3708 Ph: (952) 334-1034 |