NPI 1346506581

Grand Spectacle INC

Organisation Optometrist Saint Paul, MN

Practice location

Address: 764 Grand Ave, Saint Paul, MN 55105-3306
Phone: (651) 227-8198

Authorised official

Name: Kyle McDonough
Title: Vice-President
Phone: (651) 227-8198

Registered specialties

Optometrist Primary

Eye and Vision Services Providers Taxonomy 152W00000X

Other Optometrist providers in Minnesota →

Registry record

NPI: 1346506581
Entity type: Organization
NPI issued: 2 Apr 2012
Record last updated: 2 Apr 2012

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.