Organization
D & S VISION CARE INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. DANIEL LEE WHITED O. D. (PRESIDENT)
(952) 944-2792
Entity
Organization
Contact information
Practice address
8251 FLYING CLOUD DR, 1296, EDEN PRAIRIE, MN 55344-5350
(952) 944-2792
Mailing address
7114 WHITEHALL RD, SHAKOPEE, MN 55379-8084
(952) 233-3730
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
MN2651
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2202537
MEDICA
MN
01
—
823S3DO
BLUE CROSS BLUE SHIELD
MN
01
—
979751016547
PREFERRED ONE
MN
Enumeration date
01/16/2007
Last updated
08/22/2020
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