Organization
BACKHAUS EYE SERVICE, INC
Active
Other names
Pearle Vision Willmar
Organization subpart
No
Provider details
NPI number
Authorized official
DR. BRADLEY L BACKHAUS OD (CEO)
(320) 235-1235
Entity
Organization
Contact information
Practice address
2404 1ST ST S, WILLMAR, MN 56201-6300
(320) 235-1235
(320) 235-9241
Mailing address
2404 1ST ST S, WILLMAR, MN 56201-6300
(320) 235-1235
(320) 235-9241
Taxonomy
Speciality
Code
Description
License number
State
261Q00000X
Clinic/Center
Primary
2069
MN
Other
Enumeration date
08/14/2007
Last updated
11/05/2008
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