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Contact Information

ALYSON L BLAKSTAD, OD
10709 WAYZATA BLVD STE 200
MINNETONKA, MN55305-5509
 Phone: 952-888-5800
 Fax: 952-567-6156
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Corneal and Contact Management

152WC0802X 41 Optometry
Indicates primary specialty

NPI Profile & details for ALYSON L BLAKSTAD · (Female)

NPI # 1427043660
Status Active
Credentials OD (Doctor of Optometry)
Entity Individual
Enumeration date 09/14/2005
Last updated 09/15/2020 - About 6 years ago
Sole proprietor 1 No
Identifiers
  • MN License # 2673
  • MN Medicaid 293663100
  • MN Other 410045931 MEDICARE RAILROAD
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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