# OMNI VISION & LEARNING CENTER

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

## Provider details

- **NPI number:** 1700163540
- **Authorized official:** DR. MARY GREGORY (OWNER)
- **Authorized official phone:** (763) 314-0664

## Contact information

- **Practice address:** 9766 FALLON AVE NE STE 105, MONTICELLO, MN 55362-4589
- **Practice address phone:** (763) 314-0664
- **Practice address fax:** (763) 314-0665
- **Mailing address:** 9766 FALLON AVE NE STE 105, MONTICELLO, MN 55362-4589
- **Mailing address phone:** (763) 314-0664
- **Mailing address fax:** (763) 314-0665

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 152WV0400X | Vision Therapy Optometrist | 2734 | MN | Yes |

## Other

- **Enumeration date:** 11/08/2011
- **Last updated:** 11/08/2011
