Organization
PATIENT CENTERED EYE CARE OF MINNESOTA LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JENNIFER ELAM OD (MEMBER)
(855) 488-3937
Entity
Organization
Contact information
Practice address
3109 W 50TH ST, STE 124, MINNEAPOLIS, MN 55410-2102
(855) 488-3937
(866) 415-6805
Mailing address
3109 W 50TH ST, STE 124, MINNEAPOLIS, MN 55410-2102
(855) 488-3937
(866) 415-6805
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
3367
MN
332H00000X
Eyewear Supplier
3367
MN
Other
Enumeration date
12/31/2013
Last updated
02/12/2015
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