Individual
RENE L. ROYAL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
O.D.
Contact information
Practice address
10000 ZANE AVE N, BROOKLYN PARK, MN 55443-1400
(763) 572-5710
(763) 569-6200
Mailing address
10000 ZANE AVE N, BROOKLYN PARK, MN 55443-1400
(763) 569-6250
(763) 569-6217
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
2498
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
057217900
—
MN
01
—
1014767
AMERICA'S PPO
MN
01
—
1024532
PREFERRED ONE
MN
01
—
127812
UCARE MN
MN
01
—
2200685
MEDICA
MN
01
—
5857755
AETNA INS
MN
01
—
87D48RO
BCBS OF MN
MN
01
—
HP30733
HEALTHPARTNERS
MN
Enumeration date
08/28/2006
Last updated
05/01/2012
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