NPI 1235457722

The Spectacle Shoppe INC

Organisation Optometrist Burnsville, MN

Practice location

Address: 1178 Burnsville Ctr Suite 201, Burnsville, MN 55306-6218
Phone: (952) 892-6666
Fax: (952) 892-6876

Authorised official

Name: David Ulrich
Title: Owner
Phone: (651) 636-3434

Registered specialties

Optometrist Primary

Eye and Vision Services Providers Taxonomy 152W00000X Licence 0136 (MN)

Other Optometrist providers in Minnesota →

Registry record

NPI: 1235457722
Entity type: Organization
NPI issued: 10 May 2010
Record last updated: 10 May 2010

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.