Organization
WALKOVIAK OPTOMETRY LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ASHLEY WALKOVIAK O.D. (OPTOMETRIST)
(763) 428-9766
Entity
Organization
Contact information
Practice address
21615 S DIAMOND LAKE RD, ROGERS, MN 55374-8893
(763) 428-9766
(763) 428-9052
Mailing address
PO BOX 120, MONTICELLO, MN 55362-0120
(763) 428-9766
(763) 428-9052
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
3441
MN
Other
Enumeration date
09/11/2015
Last updated
09/11/2015
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