# NICOLLET VISION CARE OPTOMETRISTS P.A.

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- **Entity:** Organization
- **Status:** Active
- **Other names:** The Glasses Menagerie
- **Organization subpart:** No

## Provider details

- **NPI number:** 1760636286
- **Authorized official:** DR. LINDA MARIE CHOUS O.D. (OWNER)
- **Authorized official phone:** (612) 822-7021

## Contact information

- **Practice address:** 3142 HENNEPIN AVE S, MINNEAPOLIS, MN 55408-2619
- **Practice address phone:** (612) 822-7021
- **Practice address fax:** (612) 822-6123
- **Mailing address:** 3142 HENNEPIN AVE S, MINNEAPOLIS, MN 55408-2619
- **Mailing address phone:** (612) 822-7021
- **Mailing address fax:** (612) 822-6123

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 152WP0200X | Pediatric Optometrist | 2219 | MN | Yes |

## Other

- **Enumeration date:** 11/11/2008
- **Last updated:** 11/11/2008

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 01 | — | 102328 | U CARE | MN |
| 01 | — | 22-19849 | MEDICA | — |
| 01 | — | 45845 | MHP | — |
| 01 | — | 4C348GL | BLUE PLUS | — |
| 05 | — | 610225500 | — | MN |
| 01 | — | 64637CH | BLUE CROSS | — |