Whalio Doctors

NPI 1558423731

Kevin Lee Bahr, OD

Practitioner Optometrist Forest Lake, MN

Practice location

Address
20 Lake St N #104, Forest Lake, MN 55025-2523
Phone
(651) 464-4824
Fax
(651) 464-0003

Registered specialties

Optometrist Primary
Eye and Vision Services Providers Taxonomy 152W00000X Licence 2070000 (MN)

Registry record

NPI
1558423731
Entity type
Individual
Sex (as registered)
Male
NPI issued
14 Dec 2006
Record last updated
8 Jul 2007

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.