Organization
PINECONE VISION THERAPY CENTER
Active
Parent organization
PINECONE VISION CENTER
Other names
Pinecone Laser Center
Organization subpart
Yes
Provider details
NPI number
Legal business name
PINECONE VISION CENTER
Authorized official
DR. NICHOLAS COLATRELLA OD (OWNER)
(320) 258-3915
Entity
Organization
Contact information
Practice address
2380 TROOP DR UNIT 201, SARTELL, MN 56377-4637
(320) 258-3915
(320) 258-3917
Mailing address
2380 TROOP DR UNIT 201, SARTELL, MN 56377-4637
(320) 258-3915
(320) 258-3917
Taxonomy
Speciality
Code
Description
License number
State
152WV0400X
Vision Therapy Optometrist
Primary
3067
MN
Other
Enumeration date
11/05/2009
Last updated
11/05/2009
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