Organization
OMNI VISION & LEARNING CENTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MARY GREGORY (OWNER)
(763) 314-0664
Entity
Organization
Contact information
Practice address
9766 FALLON AVE NE STE 105, MONTICELLO, MN 55362-4589
(763) 314-0664
(763) 314-0665
Mailing address
9766 FALLON AVE NE STE 105, MONTICELLO, MN 55362-4589
(763) 314-0664
(763) 314-0665
Taxonomy
Speciality
Code
Description
License number
State
152WV0400X
Vision Therapy Optometrist
Primary
2734
MN
Other
Enumeration date
11/08/2011
Last updated
11/08/2011
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