Organization
JERALD L MONSON JR OD
Active
Other names
Monson Eyecare Center
Organization subpart
No
Provider details
NPI number
Authorized official
JERALD L MONSON JR. O.D. (OWNER)
(507) 451-5300
Entity
Organization
Contact information
Practice address
127 W VINE ST, OWATONNA, MN 55060-2320
(507) 451-5300
(507) 451-5840
Mailing address
127 W VINE ST, OWATONNA, MN 55060-2320
(507) 451-5300
(507) 451-5840
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
008073000
—
MN
01
—
114345
SCHA
FM
01
—
35164MO
BCBS OWATONNA
MN
Enumeration date
12/04/2006
Last updated
02/23/2012
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