Organization
GAIDA'S OPTICIANS,LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MICHAEL DAVID SUFKA O.D. (OWNER/OPTOMETRIST)
(320) 252-2002
Entity
Organization
Contact information
Practice address
1545 NORTHWAY DR STE 100, SAINT CLOUD, MN 56303-1941
(320) 252-2002
(320) 253-8024
Mailing address
1545 NORTHWAY DR STE 100, SAINT CLOUD, MN 56303-1941
(320) 252-2002
(320) 253-8024
Taxonomy
Speciality
Code
Description
License number
State
156FX1800X
Optician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
116807
U CARE
MN
01
—
2126676
MEDICA
MN
01
—
54332GA
BLUE PLUS
MN
Enumeration date
09/26/2006
Last updated
12/27/2007
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