Organization
OPTOMETRIC PHYSICIANS LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ALBERT RAY LAMOTTE (OWNER - SOLE MEMBER)
(507) 385-8110
Entity
Organization
Contact information
Practice address
9300 E POINT DOUGLAS RD S, COTTAGE GROVE, MN 55016-4030
(651) 846-2836
(952) 400-4207
Mailing address
1411 ADAMS ST, APT 101, MANKATO, MN 56001
(612) 701-7064
(952) 400-4207
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
1893
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
111460000
—
MN
Enumeration date
04/29/2008
Last updated
03/23/2022
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