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Organization

EYE 35 OPTOMETRISTS, LTD.

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. SCOTT THOMAS FONTANA O.D. (CEO)
(952) 435-3505
Entity
Organization

Contact information

Practice address
18488 KENYON AVE, LAKEVILLE, MN 55044-6911
(952) 435-3505
Mailing address
18488 KENYON AVE, LAKEVILLE, MN 55044-6911
(952) 435-3505

Taxonomy

Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
2182
MN

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
379652300
MN
Enumeration date
01/09/2008
Last updated
12/27/2019
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