Organization
MINNESOTA EYE CONSULTANTS, PA
Active
Other names
Park Optical
Organization subpart
No
Provider details
NPI number
Authorized official
CANDACE SIMERSON (PRESIDENT)
(952) 567-6100
Entity
Organization
Contact information
Practice address
710 E 24TH ST, SUITE 103, MINNEAPOLIS, MN 55404-3840
(952) 567-6092
(952) 567-6176
Mailing address
9801 DUPONT AVE S, SUITE 425, MINNEAPOLIS, MN 55431-3100
(952) 567-6092
(952) 567-6176
Taxonomy
Speciality
Code
Description
License number
State
152WC0802X
Corneal and Contact Management Optometrist
—
—
207W00000X
Ophthalmology Physician
—
—
332H00000X
Eyewear Supplier
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1250440012
DMERC
MN
Enumeration date
02/08/2006
Last updated
09/11/2025
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