Individual
THOMAS L ELTON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
OD
Contact information
Practice address
7000 YORK AVE S, EDINA, MN 55435-4213
(952) 929-1159
(952) 922-9308
Mailing address
PO BOX 1170, MAPLE GROVE, MN 55311-6170
(763) 746-2094
Taxonomy
Speciality
Code
Description
License number
State
152WC0802X
Corneal and Contact Management Optometrist
Primary
3231
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
3231
MN OD LICENSE
MN
Enumeration date
07/06/2011
Last updated
05/18/2022
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