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Organization

ADVANCED FAMILY EYECARE INC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. KAMRAN AHRAR O.D. (PRESIDENT)
(763) 670-3651
Entity
Organization

Contact information

Practice address
18576 JOPLIN AVENUE, LAKEVILLE, MN 55044
(952) 892-6454
(952) 892-0828
Mailing address
18576 JOPLIN AVENUE, LAKEVILLE, MN 55044
(952) 892-6454
(952) 892-0828

Taxonomy

Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
2954
MN

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
547G4AD
BLUE CROSS BLUE SHIELD
MN
Enumeration date
10/17/2006
Last updated
07/09/2008
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