Whalio Doctors

NPI 1104134196

Christopher Bakouris, OD

Practitioner Optometrist Richfield, MN

Practice location

Address
6500 Penn Ave S, Richfield, MN 55423-1143
Phone
(612) 798-1720

Registered specialties

Optometrist Primary
Eye and Vision Services Providers Taxonomy 152W00000X Licence 3212 (MN)

Registry record

NPI
1104134196
Entity type
Individual
Sex (as registered)
Male
NPI issued
23 Sep 2010
Record last updated
23 Sep 2010

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.