Organization
ST CLOUD OPTICIANS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DEE STARKEY (AUTHORIZED OFFICIAL)
(320) 251-1432
Entity
Organization
Contact information
Practice address
2055 15TH ST N, SAINT CLOUD, MN 56303-1747
(320) 253-5628
(320) 251-7122
Mailing address
2055 15TH ST N, SAINT CLOUD, MN 56303-1747
(320) 253-5628
(320) 251-7122
Taxonomy
Speciality
Code
Description
License number
State
332H00000X
Eyewear Supplier
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
334762100
—
MN
01
—
56650CL
BLUE CROSS
MN
Enumeration date
10/06/2005
Last updated
02/13/2023
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