Organization
ASSOCIATED EYE CARE OPTICAL LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. STEPHEN S LANE M.D. (PRESIDENT)
(651) 275-3000
Entity
Organization
Contact information
Practice address
14688 EVERTON AVE N, SUITE 106, HUGO, MN 55038-6064
(651) 275-3000
Mailing address
1719 TOWER DR W STE 100, STILLWATER, MN 55082-7512
Taxonomy
Speciality
Code
Description
License number
State
332H00000X
Eyewear Supplier
Primary
—
—
Other
Enumeration date
08/04/2006
Last updated
10/29/2012
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