Organization
AFFINITY EYE CARE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. PAUL MARLYN DAMLO O.D. (OPTOMETRIST/PRESIDENT)
(952) 229-6462
Entity
Organization
Contact information
Practice address
14050 BURNHAVEN DR, BURNSVILLE, MN 55337-4407
(952) 229-6462
(952) 229-6463
Mailing address
17638 KETTERING TRL, LAKEVILLE, MN 55044-9343
(952) 229-6462
(952) 229-6463
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
2476
MN
Other
Enumeration date
04/01/2011
Last updated
04/01/2011
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