Organization
WEST METRO OPTICAL, LLP
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. CHARLES YANCEY M.D. (OWNER)
(763) 777-6333
Entity
Organization
Contact information
Practice address
15655 37TH AVE N STE 200, PLYMOUTH, MN 55446-4008
(763) 777-6333
(763) 553-0891
Mailing address
15655 37TH AVE N STE 200, PLYMOUTH, MN 55446-4008
(763) 777-6333
(763) 553-0891
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
—
—
Other
Enumeration date
01/19/2007
Last updated
05/15/2023
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