Organization
GILTHVEDT EYECARE CLINIC, INC
Active
Other names
Horizon EyeCare Professionals
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. TERRI NORDQUIST (OFFICE MANAGER)
(507) 451-3072
Entity
Organization
Contact information
Practice address
2560 HARVEST LN, OWATONNA, MN 55060-4305
(507) 451-3072
(507) 451-4291
Mailing address
2560 HARVEST LN, OWATONNA, MN 55060-4305
(507) 451-3072
(507) 451-4291
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
2035
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
460867400
—
MN
Enumeration date
07/15/2006
Last updated
08/17/2020
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