Organization
FALK OPTOMETRIC GROUP, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MICHELLE SHIH-MING FALK O.D. (PRESIDENT)
(651) 337-0374
Entity
Organization
Contact information
Practice address
9925 HUDSON PL, WOODBURY, MN 55125
(651) 702-1231
(651) 702-1239
Mailing address
1593 HEADWATERS LN, WOODBURY, MN 55129-6233
(651) 337-0374
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
2856
MN
152W00000X
Optometrist
2857
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
189811043835
PREFERRED ONE-M. FALK, OD
MN
01
—
189811043836
PREFERRED ONE-G FALK, OD
MN
01
—
22 02293
MEDICA-MICHELLE FALK, OD
MN
01
—
22 02944
MEDICA-GREGORY FALK, OD
MN
01
—
308T4SA
BLUE CROSS & BLUE SHIELD
MN
Enumeration date
02/20/2007
Last updated
07/10/2018
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