Individual
DR. EDWARD AUGDAHL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
O.D.
Contact information
Practice address
PEARLE VISION, 5515 XERXES AVE NORTH, BROOKLYN CENTER, MN 55430
(763) 560-1636
(763) 560-4101
Mailing address
5515 XERXES AVE N, BROOKLYN CENTER, MN 55430-2856
(763) 560-1636
(763) 560-4101
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
MN2571
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1720056641
HEALTHPARTNERS
MN
01
—
2203101
MEDICA
MN
01
—
2260985
AMERICA'S PPO
MN
01
—
24F55PE
BLUE CROSS/BLUE SHIELD
MN
01
—
296N0AU
BCBS
—
01
—
513T1PE
BLUE CROSS/BLUE SHIELD
MN
05
—
781138100
—
MN
01
—
MN2571
EYEMED
MN
Enumeration date
03/08/2006
Last updated
05/04/2009
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