National Provider Identifier Database

MINNESOTA OPTICAL LLC
Optometrist

Doctors of optometry (ODs) are the primary health care professionals for the eye. Optometrists examine, diagnose, treat, and manage diseases, injuries, and disorders of the visual system, the eye, and associated structures as well as identify related systemic conditions affecting the eye.


Contact Information

MINNESOTA OPTICAL LLC
19576 HOLT ST NW
ELK RIVER, MN55330
Phone: 763-241-2083
Fax: 763-241-3801
Website:
Specialty Taxonomy Code
* Optometrist 152W00000X

* Indicates primary specialty

NPI Profile & details for MINNESOTA OPTICAL LLC

NPI Number 1831303437
Legal business name
LBN
MINNESOTA OPTICAL LLC
Authorized official GARY TONSAGER - (CHIEF OFFICER)
Entity Organization
Organization subpart No
Enumeration date 05/10/2007
Last updated 03/09/2012 - About 14 years ago
Sole proprietor1 Not specified
Identifiers
  • MN Other: 6627600001 DME

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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