Organization
VALLEY EYE CLINIC & OPTICAL, PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. DAVID H HESS OD (OWNER)
(612) 486-1749
Entity
Organization
Contact information
Practice address
1431 BEAM AVE, MAPLEWOOD, MN 55109-1064
(612) 486-1749
(612) 486-1750
Mailing address
1431 BEAM AVE, MAPLEWOOD, MN 55109-1064
(612) 486-1749
(612) 486-1750
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
2776
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2776
LICENSE
MN
Enumeration date
12/01/2010
Last updated
08/23/2011
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