Organization
TOTAL EYE CARE LLC
Active
Other names
Total Eye Care LLC
Organization subpart
No
Provider details
NPI number
Authorized official
CRYSTAL RANDBY (BILLING)
(651) 213-3369
Entity
Organization
Contact information
Practice address
5200 FAIRVIEW BLVD, WYOMING, MN 55092-8013
(651) 257-8421
(651) 257-8464
Mailing address
11725 STINSON AVE, CHISAGO CITY, MN 55013-9542
(651) 257-8421
(651) 257-8464
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
—
—
207W00000X
Ophthalmology Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
827983700
—
MN
Enumeration date
02/01/2007
Last updated
07/11/2023
Update your record
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