Organization
CONROY EYE CARE PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JOHN ALLEN CONROY OD (OWNER PRESIDENT)
(320) 563-4610
Entity
Organization
Contact information
Practice address
1011 BROADWAY, WHEATON, MN 56296-1303
(320) 563-4610
(320) 563-4657
Mailing address
1011 BROADWAY, WHEATON, MN 56296-1303
(320) 563-4610
(320) 563-4657
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
2118
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
358723100
—
MN
01
—
4645120001
DMERC
MN
Enumeration date
05/15/2008
Last updated
03/07/2023
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