NPI 1841337425

Wayne Gene Hines, OD

Practitioner Optometrist Prior Lake, MN

Practice location

Address: 14120 Commerce Ave NE Suite 100, Prior Lake, MN 55372-1500
Phone: (952) 447-2020
Fax: (952) 447-2322
Mailing address: 5270 Saint Albans Bay Rd, Excelsior, MN 55331-8635

Registered specialties

Optometrist Primary

Eye and Vision Services Providers Taxonomy 152W00000X Licence 0001425 (MN)

Other Optometrist providers in Minnesota →

Registry record

NPI: 1841337425
Entity type: Individual
Sex (as registered): Male
NPI issued: 31 Jan 2007
Record last updated: 9 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.