NPI 1538624341

Don Sealock, O.D., P.A.

Organisation Eyewear Supplier Maple Grove, MN

Practice location

Address: 9825 Hospital Dr # 106, Maple Grove, MN 55369-4479
Phone: (763) 568-7177
Fax: (763) 568-7361
Mailing address: 4455 Highway 169 N, Plymouth, MN 55442-2897

Authorised official

Name: Jennie J Sealock
Title: Secr/Treas
Phone: (763) 559-7358

Registered specialties

Eyewear Supplier Primary

Suppliers Taxonomy 332H00000X

Other Eyewear Supplier providers in Minnesota →

Registry record

NPI: 1538624341
Entity type: Organization
NPI issued: 6 Feb 2019
Record last updated: 6 Feb 2019

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.