Individual
DR. JOSHUA JESSIE DEWAR SMITH HANEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
JD, OD, FAAO
Contact information
Practice address
4323 E LAKE ST, MINNEAPOLIS, MN 55406-2307
(612) 722-1003
(612) 721-6336
Mailing address
4323 E LAKE ST, MINNEAPOLIS, MN 55406-2307
(612) 722-1003
(612) 721-6336
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
3331
MN
152WC0802X
Corneal and Contact Management Optometrist
3331
MN
152WL0500X
Low Vision Rehabilitation Optometrist
3331
MN
152WP0200X
Pediatric Optometrist
3331
MN
152WS0006X
Sports Vision Optometrist
3331
MN
152WV0400X
Vision Therapy Optometrist
3331
MN
152WX0102X
Occupational Vision Optometrist
3331
MN
Other
Enumeration date
05/22/2013
Last updated
10/26/2016
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