NPI 1730472523

Cedar Lakes Eye Specialists PA

Organisation Optometrist St Louis Park, MN

Practice location

Address: 5801 W 16th St, St Louis Park, MN 55416-1446
Phone: (763) 582-9601
Fax: (763) 582-9613
Mailing address: PO Box 1170, Maple Grove, MN 55311-6170

Authorised official

Name: David Bane
Title: Owner
Phone: (763) 582-9601

Registered specialties

Optometrist Primary

Eye and Vision Services Providers Taxonomy 152W00000X Licence 3009 (MN)

Other Optometrist providers in Minnesota →

Registry record

NPI: 1730472523
Entity type: Organization
NPI issued: 26 May 2011
Record last updated: 30 Apr 2018

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.