Organization
DJ-MN INC
Active
Other names
Carver Eyecare
Organization subpart
No
Provider details
NPI number
Authorized official
JANE THELEN (OWNER)
(763) 427-4000
Entity
Organization
Contact information
Practice address
204 LEWIS AVE S, SUITE 102, WATERTOWN, MN 55388-4500
(763) 427-4000
Mailing address
1920 1ST AVE, ANOKA, MN 55303-2437
(763) 427-4000
Taxonomy
Speciality
Code
Description
License number
State
156FX1800X
Optician
Primary
—
—
Other
Enumeration date
01/16/2007
Last updated
02/29/2008
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