Organization
NICHOLAS VINCELLI OPTOMETRY, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. NICHOLAS CLINTON VINCELLI O.D. (PRESIDENT/OPTOMETRIST)
(773) 220-4849
Entity
Organization
Contact information
Practice address
1881 E MADISON AVE, WAL-MART VISION CENTER STORE #1473, MANKATO, MN 56001-6200
(507) 388-9805
(507) 388-9812
Mailing address
2095 HARBOUR OAK DR SE, OWATONNA, MN 55060-6614
(773) 220-4849
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
3035
MN
Other
Enumeration date
11/03/2006
Last updated
05/11/2009
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