Organization
CHAD DOCKTER OD LTD
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CHAD RAY DOCKTER OD (OPTOMETRIST)
(952) 448-6560
Entity
Organization
Contact information
Practice address
8225 FLYING CLOUD DR, EDEN PRAIRIE, MN 55344-5315
(952) 563-0246
Mailing address
817 RAMSEY AVE, CARVER, MN 55315-4515
(952) 448-6560
Taxonomy
Speciality
Code
Description
License number
State
261Q00000X
Clinic/Center
Primary
—
—
Other
Enumeration date
06/11/2009
Last updated
06/11/2009
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