Organization
DT VISION CARE L.L.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. DEBRA TIMPERLEY OD (CHIEF MANAGER)
(320) 492-7916
Entity
Organization
Contact information
Practice address
207 COUNTY ROAD 120, SAINT CLOUD, MN 56303-4872
(320) 202-5985
(320) 202-7890
Mailing address
2220 13TH ST S, SAINT CLOUD, MN 56301-4861
(320) 492-7916
(320) 202-7890
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
2550
MN
Other
Enumeration date
08/19/2010
Last updated
08/19/2010
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