Whalio Doctors

NPI 1013242197

Megan Marie Sis, ODMSFAAO

Practitioner Optometrist Blaine, MN

Practice location

Address
12170 Aberdeen St NE, Blaine, MN 55449-4716
Phone
(763) 757-7000
Fax
(763) 757-3328

Registered specialties (3)

Optometrist Primary
Eye and Vision Services Providers Taxonomy 152W00000X Licence 3315 (MN)
Optometrist
Eye and Vision Services Providers Taxonomy 152W00000X Licence OEG002668 (PA)
Vision Therapy Optometrist
Eye and Vision Services Providers Taxonomy 152WV0400X Licence 3315 (MN)

Registry record

NPI
1013242197
Entity type
Individual
Sex (as registered)
Female
NPI issued
7 Oct 2009
Record last updated
11 Jul 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.