Organization
CENTRASOTA EYE CARE, INC
Active
Other names
Centrasota Eye Care & Laser Surgery
Organization subpart
No
Provider details
NPI number
Authorized official
MS. VICKY LYNN TAMBLYN (MANAGER)
(320) 258-2020
Entity
Organization
Contact information
Practice address
3950 VETERANS DR, SUITE 103, SAINT CLOUD, MN 56303-3410
(320) 258-2020
(320) 258-3181
Mailing address
3950 VETERANS DR, SUITE 103, SAINT CLOUD, MN 56303-3410
(320) 258-2020
(320) 258-3181
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
—
—
332H00000X
Eyewear Supplier
Primary
—
—
Other
Enumeration date
09/19/2007
Last updated
09/19/2007
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