Organization
ST ANTHONY OPTOMETRIC CLINIC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. TODD JEFFREY HANSON OD (PRESIDENT OWNER)
(612) 781-4730
Entity
Organization
Contact information
Practice address
2929 PENTAGON DR, ST ANTHONY, MN 55418-3208
(612) 781-4730
(612) 706-2337
Mailing address
2929 PENTAGON DR, ST ANTHONY, MN 55418-3208
(612) 781-4730
(612) 706-2337
Taxonomy
Speciality
Code
Description
License number
State
261QP2300X
Primary Care Clinic/Center
Primary
2443
MN
Other
Enumeration date
03/23/2007
Last updated
08/22/2020
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