Organization
EYESWEAR
Active
Organization
EYESWEAR
Active
Other names
Uptowm Eyeswear, Uptown Eyeswear
Organization subpart
No
Provider details
NPI number
Authorized official
MR. MOULAY YOUNES ELIDRISSI (OWNER)
(763) 250-8494
Entity
Organization
Contact information
Practice address
720 W LAKE ST # 107, MINNEAPOLIS, MN 55408-2963
(612) 216-4705
Mailing address
720 W LAKE ST # 107, MINNEAPOLIS, MN 55408-2963
(612) 216-4705
Taxonomy
Speciality
Code
Description
License number
State
261QS0132X
Ophthalmologic Surgery Clinic/Center
Primary
—
—
Other
Enumeration date
01/04/2018
Last updated
06/16/2018
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