Organization
FISCHER VISION PC
Active
Other names
North Star Eye Care
Organization subpart
No
Provider details
NPI number
Authorized official
LONDA LEA FISCHER COSTELLO O.D (OWNER/OPTOMETRIST)
(320) 212-0500
Entity
Organization
Contact information
Practice address
13334 BASS LAKE ROAD NORTH, MAPLE GROVE, MN 55311
(320) 212-0500
Mailing address
21 SKYVIEW DR, SAUK RAPIDS, MN 56379-1318
(320) 212-0500
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
3085
MN
Other
Enumeration date
09/01/2016
Last updated
09/21/2016
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