Organization
OPTOMETRIC EYE CARE CENTERS, P.A.
Active
Other names
Eye Care Center
Organization subpart
No
Provider details
NPI number
Authorized official
DR. GREGORY W KRAUPA OD (PRESIDENT)
(763) 574-0075
Entity
Organization
Contact information
Practice address
1202 MOORE LAKE DR E, FRIDLEY, MN 55432-5170
(763) 567-0075
(763) 574-0594
Mailing address
1202 MOORE LAKE DR E, FRIDLEY, MN 55432-5170
(763) 567-0075
(763) 574-0594
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
1635
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
08073KR
BCBS OF MN
MN
05
—
367822900
—
MN
Enumeration date
10/05/2006
Last updated
04/08/2008
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