Organization
OPTOM SPOT PC
Active
Other names
Target Optical
Organization subpart
No
Provider details
NPI number
Authorized official
SHIKHA MEHTA OD (AUTHORIZED OFFICIAL/OD)
(401) 529-9964
Entity
Organization
Contact information
Practice address
903 20TH AVE N, SOUTH ST PAUL, MN 55075-1311
(612) 338-7551
(612) 338-7403
Mailing address
903 20TH AVE N, SOUTH ST PAUL, MN 55075-1311
(612) 338-7551
(612) 338-7403
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
—
—
Other
Enumeration date
03/12/2024
Last updated
03/12/2024
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