NPI 1003954033

Xuanmai Thi Ta, OD

Practitioner Optometrist Minneapolis, MN

Practice location

Address: 2718 Nicollet Ave Suite No. 103, Minneapolis, MN 55408-1648
Phone: (612) 871-1518
Fax: (612) 871-2585
Mailing address: 12167 Cartway Curv, Eden Prairie, MN 55347-4254

Registered specialties

Optometrist Primary

Eye and Vision Services Providers Taxonomy 152W00000X Licence T2107 (MN)

Other Optometrist providers in Minnesota →

Registry record

NPI: 1003954033
Entity type: Individual
Sex (as registered): Female
NPI issued: 2 Feb 2007
Record last updated: 13 Mar 2008

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.