Individual
DR. CHAD R. DOCKTER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
OD
Contact information
Practice address
TARGET OPTICAL, 8225 FLYING CLOUD DRIVE, EDEN PRAIRIE, MN 55344
(952) 563-0247
Mailing address
1464 WHITE OAK DR., CHASKA, MN 55318
(952) 466-3937
(952) 466-3936
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
2439
MN
Other
Enumeration date
01/10/2007
Last updated
11/16/2012
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