Organization
NORTH STAR EYE ASSOCIATES
Active
Parent organization
LCA VISION/LASIK PLUS
Organization subpart
Yes
Provider details
NPI number
Legal business name
LCA VISION/LASIK PLUS
Authorized official
TERRI ROUSE (DIRECTOR OF MANAGED CARE)
(513) 354-5827
Entity
Organization
Contact information
Practice address
7767 ELM CREEK BLVD N, STE 140, MAPLE GROVE, MN 55369-7041
(763) 416-6501
Mailing address
7840 MONTGOMERY RD, CINCINNATI, OH 45236-4301
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
3025
MN
Other
Enumeration date
11/17/2010
Last updated
11/17/2010
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