Organization
BRIGHT EYES VISION CLINIC, PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JILL AK HADLER OD (CEO AND PRESIDENT)
(763) 241-1090
Entity
Organization
Contact information
Practice address
9125 QUADAY AVE NE, SUITE 104, OTSEGO, MN 55330-6651
(763) 241-1090
Mailing address
9125 QUADAY AVE NE, SUITE 104, OTSEGO, MN 55330-6651
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
—
—
Other
Enumeration date
02/21/2007
Last updated
08/22/2020
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