Organization
VISION SERVICES INC.
Active
Other names
Dr. Brad Hagemo
Organization subpart
No
Provider details
NPI number
Authorized official
DR. BRADLEY DUANE HAGEMO O.D. (PRESIDENT)
(952) 457-9054
Entity
Organization
Contact information
Practice address
1090 SOUTHDALE CTR, EDINA, MN 55435-7050
(952) 929-2442
(952) 927-0088
Mailing address
620 LYMAN PL, EXCELSIOR, MN 55331-3236
(952) 457-9054
(952) 927-0088
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
1981
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1981
STATE LICENSE
MN
Enumeration date
01/11/2007
Last updated
03/07/2023
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