Organization
AWAD EYE CARE, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. OMAR AWAD M.D. (PRESIDENT)
(651) 558-2020
Entity
Organization
Contact information
Practice address
1347 LARPENTEUR AVE W, ROSEVILLE, MN 55113-6302
(651) 558-2020
(651) 641-1702
Mailing address
1347 LARPENTEUR AVE W, ROSEVILLE, MN 55113-6302
(651) 558-2020
(651) 641-1702
Taxonomy
Speciality
Code
Description
License number
State
156FX1100X
Ophthalmic Technician/Technologist
Primary
44159
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
DB9517
RAILROAD MEDICARE
MN
Enumeration date
04/18/2006
Last updated
01/23/2013
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