Whalio Doctors

NPI 1366863862

Patient Centered Eye Care of Minnesota LLC

Organisation Optometrist Minneapolis, MN

Practice location

Address
3109 W 50th St STE 124, Minneapolis, MN 55410-2102
Phone
(855) 488-3937
Fax
(866) 415-6805

Authorised official

Name
Jennifer Elam
Title
Member
Phone
(855) 488-3937

Registered specialties (2)

Optometrist Primary
Eye and Vision Services Providers Taxonomy 152W00000X Licence 3367 (MN)
Eyewear Supplier
Suppliers Taxonomy 332H00000X Licence 3367 (MN)

Registry record

NPI
1366863862
Entity type
Organization
NPI issued
31 Dec 2013
Record last updated
12 Feb 2015

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.