Organization
VISIONARY EYE CARE, PA
Active
Other names
TOMMY LEE ELTON
Organization subpart
No
Provider details
NPI number
Authorized official
THOMAS L ELTON OD (OWNER)
(952) 922-8118
Entity
Organization
Contact information
Practice address
400 WATER ST STE 105, EXCELSIOR, MN 55331-3001
(320) 247-2139
Mailing address
400 WATER ST STE 105, EXCELSIOR, MN 55331-3001
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
3231
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1134416605
NPI TYPE I
MN
05
—
1811430226
—
MN
Enumeration date
12/02/2016
Last updated
05/28/2025
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