Organization
CAPITAL FAMILY EYE CLINIC LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SE CECELIA XIONG O.D. (PRESIDENT)
(608) 738-5755
Entity
Organization
Contact information
Practice address
941 PAYNE AVE, SAINT PAUL, MN 55130-4003
(608) 738-5755
Mailing address
6332 HIGHLAND HILLS BLVD S, COTTAGE GROVE, MN 55016-4478
(608) 738-5755
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
3001
MN
Other
Enumeration date
03/10/2008
Last updated
07/07/2008
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