Organization
NORTHWAY EYE & CONTACT LENS CENTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
NATALIE MARY GUGGENBERGER (OFFICE MANAGER)
(320) 253-2441
Entity
Organization
Contact information
Practice address
1545 NORTHWAY DR, SUITE 120, SAINT CLOUD, MN 56303-1940
(320) 253-2441
(320) 253-2446
Mailing address
1545 NORTHWAY DR, SUITE 120, SAINT CLOUD, MN 56303-1940
(320) 253-2441
(320) 253-2446
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
1776
MN
152W00000X
Optometrist
2751
MN
152W00000X
Optometrist
Primary
2909
MN
Other
Enumeration date
11/06/2006
Last updated
08/22/2020
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