Individual
ALLYSON K CASPERS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
O.D.
Contact information
Practice address
4750 WASHINGTON SQ, WHITE BEAR LAKE, MN 55110-3257
(651) 429-3379
(651) 429-8681
Mailing address
4750 WASHINGTON SQ, WHITE BEAR LAKE, MN 55110-3257
(651) 429-3379
(651) 429-8681
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
2345
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1011968
PREFERRED ONE
MN
01
—
114056
UCARE
MN
01
—
147L5CA
BLUE CROSS BLUE SHIELD
MN
01
—
2202806
MEDICA
MN
05
—
626718100
—
MN
01
—
HP20333
HEALTH PARTNERS
MN
Enumeration date
05/15/2006
Last updated
02/19/2010
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