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Contact Information

MINNESOTA OPTICAL LLC
19576 HOLT ST NW
ELK RIVER, MN55330
 Phone: 763-241-2083
 Fax: 763-241-3801
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Optometrist

152W00000X 41 Optometry
Indicates primary specialty

NPI Profile & details for MINNESOTA OPTICAL LLC · (Female)

NPI Number 1831303437
Status Active
Credentials
Entity Individual
Enumeration date 05/10/2007
Last updated 03/09/2012 - About 14 years ago
Sole proprietor 1 Not specified
Identifiers
  • MN Other 6627600001 DME
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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