Organization
NORTH SUBURBAN OPTICAL
Active
Other names
Optical Studios
Organization subpart
No
Provider details
NPI number
Authorized official
DELTA JORGENSEN (ORGANIZATIONAL LIASION)
(763) 592-8413
Entity
Organization
Contact information
Practice address
3777 COON RAPIDS BLVD NW, SUITE 100, COON RAPIDS, MN 55433
(763) 427-8524
(763) 527-5141
Mailing address
3777 COON RAPIDS BLVD NW, SUITE 100, COON RAPIDS, MN 55433
(763) 427-8524
(763) 576-5141
Taxonomy
Speciality
Code
Description
License number
State
332H00000X
Eyewear Supplier
Primary
—
—
Other
Enumeration date
07/02/2007
Last updated
10/22/2018
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