Organization
OPTOMETRIC ASSOCIATES, LTD.
Active
Parent organization
OPTOMETRIC ASSOCIATES, LTD
Organization subpart
Yes
Provider details
NPI number
Legal business name
OPTOMETRIC ASSOCIATES, LTD
Authorized official
DR. JENNIFER SCOTT (VICE PRESIDENT)
(952) 944-3131
Entity
Organization
Contact information
Practice address
2024 EDEN PRAIRIE CTR, EDEN PRAIRIE, MN 55344-6035
(952) 944-3131
(952) 944-9675
Mailing address
12577 WAYZATA BLVD, MINNETONKA, MN 55305-1938
(952) 944-3131
(952) 944-9675
Taxonomy
Speciality
Code
Description
License number
State
261QH0100X
Health Service Clinic/Center
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1H401OP
BLUE CROSS BLUE SHIELD MN
MN
01
—
31855
HEALTH PARTNERS
MN
Enumeration date
05/18/2007
Last updated
06/11/2009
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