# MINNESOTA EYE INSTITUTE SURGERY CENTER, LLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1003802950
- **Authorized official:** KENT ARTHUR CARLSON MD (OWNER)
- **Authorized official phone:** (320) 759-2020

## Contact information

- **Practice address:** 3401 S BROADWAY, ALEXANDRIA, MN 56308-3477
- **Practice address phone:** (320) 759-2020
- **Practice address fax:** (320) 759-2424
- **Mailing address:** 3401 S BROADWAY, ALEXANDRIA, MN 56308-3477
- **Mailing address phone:** (320) 759-2020
- **Mailing address fax:** (320) 759-2424

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QA1903X | Ambulatory Surgical Clinic/Center | — | MN | Yes |

## Other

- **Enumeration date:** 09/26/2005
- **Last updated:** 09/24/2012