Organization
NORTH SUBURBAN OPTICAL
Active
Other names
Optical Studios
Organization subpart
No
Provider details
NPI number
Authorized official
DELTA JORGENSEN (ORGANIZATIONAL LIAISON)
(763) 592-8413
Entity
Organization
Contact information
Practice address
4520 CENTERVILLE RD, SAINT PAUL, MN 55127-3602
(763) 421-7420
Mailing address
3777 COON RAPIDS BLVD NW, STE 100, COON RAPIDS, MN 55433-2630
(763) 421-7420
Taxonomy
Speciality
Code
Description
License number
State
332H00000X
Eyewear Supplier
Primary
—
—
Other
Enumeration date
06/14/2016
Last updated
11/09/2018
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