Individual
TONI J SCHEPER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OD
Contact information
Practice address
1063 BURNSVILLE CTR, BURNSVILLE, MN 55306
(952) 435-8821
(612) 808-5023
Mailing address
17411 IONIA PATH, LAKEVILLE, MN 55044-5624
(952) 270-1907
(612) 808-5023
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
2331
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
410003723
MEDICARE ID
MN
05
—
420525100
—
MN
Enumeration date
12/28/2005
Last updated
07/31/2018
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