Organization
ROSE FASHION OPTICAL
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. JEFFREY SCHLONER OPTICIAN (OWNER)
(952) 928-7005
Entity
Organization
Contact information
Practice address
7204 MINNETONKA BLVD, ST LOUIS PARK, MN 55426-3210
(952) 928-7005
(952) 928-4910
Mailing address
7204 MINNETONKA BLVD, ST LOUIS PARK, MN 55426-3210
(952) 928-7005
(952) 928-4910
Taxonomy
Speciality
Code
Description
License number
State
332H00000X
Eyewear Supplier
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
14912RO
BLUE CROSS
MN
01
—
2115946
MEDICA
MN
Enumeration date
03/08/2007
Last updated
08/22/2020
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