Organization
COKATO EYE CENTER, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SHANDA LARSEN (PROJECT LEAD)
(320) 286-5695
Entity
Organization
Contact information
Practice address
115 OLSEN BLVD, COKATO, MN 55321
(320) 286-5695
(320) 286-5742
Mailing address
PO BOX 1060, 115 OLSEN BLVD, COKATO, MN 55321
(320) 286-5695
(320) 286-5742
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
432724100
—
MN
Enumeration date
11/15/2006
Last updated
01/23/2025
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