Organization
CROOKSTON EYE CLINIC, P.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KARI J MILLER O.D. (OWNER OPERATOR OPTOMOTRIST)
(218) 281-2020
Entity
Organization
Contact information
Practice address
216 S MAIN ST, CROOKSTON, MN 56716-1939
(218) 281-2020
(218) 281-5997
Mailing address
216 S MAIN ST, CROOKSTON, MN 56716-1939
(218) 281-2020
(218) 281-5997
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
2368
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
438992100
—
MN
Enumeration date
02/01/2007
Last updated
03/04/2008
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