Organization
MINNESOTA LOW VISION STORE, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KEVIN FRANCIS NICHOLSON COMT (OWNER)
(651) 489-4194
Entity
Organization
Contact information
Practice address
710 E 24TH ST STE 203, MINNEAPOLIS, MN 55404-3810
(651) 489-4194
(651) 489-8187
Mailing address
710 E 24TH ST STE 203, MINNEAPOLIS, MN 55404-3810
(651) 489-4194
(651) 489-8187
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
—
—
Other
Enumeration date
02/27/2008
Last updated
02/25/2010
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