Organization
FAMILY VISION CARE P.A.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JOHN M MUELLERLEILE O.D. (OWNER)
(507) 451-5800
Entity
Organization
Contact information
Practice address
121 W MAIN ST, OWATONNA, MN 55060-2970
(507) 451-5800
(507) 451-4884
Mailing address
PO BOX 412, OWATONNA, MN 55060-0412
(507) 451-5800
(507) 451-4884
Taxonomy
Speciality
Code
Description
License number
State
332H00000X
Eyewear Supplier
Primary
LD1524000
MN
Other
Enumeration date
03/04/2008
Last updated
03/04/2008
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