Organization
ADVANCED VISION CLINIC AND OPTICAL LLC
Active
Other names
Angela P Johnson LLC
Organization subpart
No
Provider details
NPI number
Authorized official
ANGELA PORCH JOHNSON OD (OWNER MEMBER)
(651) 270-1621
Entity
Organization
Contact information
Practice address
1099 HELMO AVE N, SUITE 150, OAKDALE, MN 55128-6033
(651) 739-3937
(651) 739-9690
Mailing address
1099 HELMO AVE N, SUITE 150, OAKDALE, MN 55128-6033
(651) 739-3937
(651) 739-9690
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
2955
MN
Other
Enumeration date
11/16/2006
Last updated
08/22/2020
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