Organization
GIBBONS EYE CLINIC, OPTOMETRISTS, P.A.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. PAULA RAE NEU (MANAGER)
(763) 689-1441
Entity
Organization
Contact information
Practice address
120 MAIN ST N, CAMBRIDGE, MN 55008-1230
(763) 689-1441
(763) 689-3925
Mailing address
120 MAIN ST N, CAMBRIDGE, MN 55008-1230
(763) 689-1441
(763) 689-3925
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
1978
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
987323600
—
MN
Enumeration date
03/20/2007
Last updated
07/10/2008
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