NPI Profile for INDEX 53 OPT ICAL COINC in SAINT STEPHEN, MN.
Specialty |
Taxonomy Code | Specialty Code | Provider Type | |
Optician |
156FX1800X | 96[5] | Optician | |
Customized Equipment |
332BC3200X | 87 | All Other Suppliers |
| NPI Number | 1477728418 |
|
| Status | Active | |
| Credentials | ||
| Entity | Individual | |
| Enumeration date | 04/29/2008 | |
| Last updated | 03/27/2014 - About 12 years ago | |
| Sole proprietor 1 | Not specified | |
| Identifiers | Not Available | |
| Hospital affiliation(s) | Not Available |
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INDEX 53 OPT ICAL CO.INC.
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