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Organization

GOLDEN RULE OPTOMETRY

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. DANISE J MILLER OD (OWNER)
(320) 630-1214
Entity
Organization

Contact information

Practice address
901 W SAINT GERMAIN ST, SAINT CLOUD, MN 56301-3460
(320) 252-5404
(320) 252-8938
Mailing address
5782 GORRON RD, BRAINERD, MN 56401-2498
(320) 630-1214
(320) 252-8938

Taxonomy

Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
2873
MN

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
139609860
BLUE CROSS BLUE SHIELD
MN
01
AV66
UCARE
MN
Enumeration date
10/22/2012
Last updated
02/11/2013
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