Whalio Doctors

NPI 1003359597

Icare Family Vision Plc

Organisation Optometrist St Louis Park, MN

Practice location

Address
6900 W Lake St, St Louis Park, MN 55426-4209
Phone
(952) 222-3578

Authorised official

Name
Elizabeth Johnson
Title
Owner
Phone
(952) 222-3578

Registered specialties

Optometrist Primary
Eye and Vision Services Providers Taxonomy 152W00000X Licence 3225 (MN)

Registry record

NPI
1003359597
Entity type
Organization
NPI issued
1 Dec 2016
Record last updated
25 Oct 2022

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.