Organization
ICARE FAMILY VISION PLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ELIZABETH JOHNSON (OWNER)
(952) 222-3578
Entity
Organization
Contact information
Practice address
6900 W LAKE ST, ST LOUIS PARK, MN 55426-4209
(952) 222-3578
Mailing address
6900 W LAKE ST, ST LOUIS PARK, MN 55426-4209
(952) 222-3578
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
3225
MN
Other
Enumeration date
12/01/2016
Last updated
10/25/2022
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