Organization
MINNEAPOLIS OPHTHALMOLOGY ASC LLC
Active
Other names
Minneapolis Eye Center
Organization subpart
No
Provider details
NPI number
Authorized official
PHILLIP A CLENDENIN (PRESIDENT)
(615) 665-1283
Entity
Organization
Contact information
Practice address
8401 GOLDEN VALLEY RD, SUITE 340, GOLDEN VALLEY, MN 55427-4486
(763) 383-4150
(763) 383-4151
Mailing address
8401 GOLDEN VALLEY RD, SUITE 340, GOLDEN VALLEY, MN 55427-4486
(763) 383-4150
(763) 383-4151
Taxonomy
Speciality
Code
Description
License number
State
261QA1903X
Ambulatory Surgical Clinic/Center
Primary
320515
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0015008-00
—
MN
Enumeration date
02/07/2006
Last updated
09/07/2023
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