Organization
THE SPECTACLE SHOPPE INC
Active
Parent organization
THE SPECTACLE SHOPPE INC
Organization subpart
Yes
Provider details
NPI number
Legal business name
THE SPECTACLE SHOPPE INC
Authorized official
MR. DAVID ULRICH (OWNER)
(651) 636-3434
Entity
Organization
Contact information
Practice address
1178 BURNSVILLE CTR, SUITE 201, BURNSVILLE, MN 55306-6218
(952) 892-6666
(952) 892-6876
Mailing address
1178 BURNSVILLE CTR, SUITE 201, BURNSVILLE, MN 55306-6218
(952) 892-6666
(952) 892-6876
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
0136
MN
Other
Enumeration date
05/10/2010
Last updated
05/10/2010
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