Organization
SOUTHWEST EYE CARE INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. CHRISTOPHER FREED O.D. (OPTOMETRIST)
(952) 466-3937
Entity
Organization
Contact information
Practice address
1200 CHASKA CREEK WAY, SUITE 110, CHASKA, MN 55318-2525
(952) 466-3937
(952) 466-3936
Mailing address
1200 CHASKA CREEK WAY, SUITE 110, CHASKA, MN 55318-2525
(952) 466-3937
(952) 466-3936
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
—
—
156FX1800X
Optician
—
—
207W00000X
Ophthalmology Physician
Primary
51388
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1033193198
NPI PATTY JILEK
MN
01
—
1104975762
NPI CHAD DOCKTER
MN
01
—
1427052323
NPI BERNIE ROTTACH
MN
01
—
1487644969
NPI SCOTT GLASER
MN
01
—
1770631889
NPI CHRISTOPHER FREED
MN
01
—
1801092960
NPI
MN
01
—
1881741213
NPI AMY FREED
MN
Enumeration date
01/11/2007
Last updated
01/15/2020
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