Individual
EUNICE CHANG
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
O.D.
Contact information
Practice address
6000 EARLE BROWN DR, BROOKLYN CENTER, MN 55430-2506
(952) 993-4900
(952) 993-4827
Mailing address
8170 33RD AVE S # MS 21110Q, BLOOMINGTON, MN 55425-4516
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
2804
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1032781
PREFERRED ONE
MN
01
—
22-03203
MEDICA
MN
01
—
2422247
ARAZ
MN
05
—
38628700
—
WI
01
—
HP59874
HEALTHPARTNERS
MN
Enumeration date
06/23/2006
Last updated
08/12/2021
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