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Organization

ASSOCIATED EYE CARE OPTICAL LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MARK S FISHER (EXCEUTIVE DIRECTOR)
(651) 275-3002
Entity
Organization

Contact information

Practice address
411 STAGELINE ROAD SUITE 200, HUDSON, WI 54016-7848
(651) 275-3000
(651) 275-3027
Mailing address
1719 TOWER DR W SUITE 100, STILLWATER, MN 55082-7215
(651) 275-3000
(651) 275-3027

Taxonomy

Speciality
Code
Description
License number
State
332H00000X
Eyewear Supplier
Primary

Other

Enumeration date
05/11/2015
Last updated
10/24/2017
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