Organization
841 OPTOMETRY PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JASON C PIANT OD (OPTOMETRIST)
(303) 887-6631
Entity
Organization
Contact information
Practice address
5817 IVY LN, MINNETONKA, MN 55345-5314
(303) 887-6631
Mailing address
5817 IVY LN, MINNETONKA, MN 55345-5314
(303) 887-6631
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
3219
MN
Other
Enumeration date
08/11/2015
Last updated
08/11/2015
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