Organization
EAGAN EYE CLINIC LLC
Active
Parent organization
EAGAN EYE CLINIC LLC
Organization subpart
Yes
Provider details
NPI number
Legal business name
EAGAN EYE CLINIC LLC
Authorized official
BENJAMIN S CHUDNER OD (PRESIDENT)
(972) 370-5552
Entity
Organization
Contact information
Practice address
5809 EGAN DR, SAVAGE, MN 55378-4918
(952) 226-2020
Mailing address
211 E BROADWAY, ALTON, IL 62002-6220
(618) 462-9818
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
—
—
Other
Enumeration date
10/02/2020
Last updated
10/02/2020
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