Organization
DAVID THELEN
Active
Other names
carver eye care
Organization subpart
No
Provider details
NPI number
Authorized official
JANE THELEN (OWNER)
(763) 295-4044
Entity
Organization
Contact information
Practice address
204 LEWIS AVE S, SUITE 102, WATERTOWN, MN 55388-4500
(952) 955-3553
(952) 955-1900
Mailing address
204 LEWIS AVE S, SUITE 102, WATERTOWN, MN 55388-4500
(952) 955-3553
(952) 955-1900
Taxonomy
Speciality
Code
Description
License number
State
156FX1800X
Optician
Primary
—
—
Other
Enumeration date
11/10/2006
Last updated
08/22/2020
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