Organization
MAYER OPTICAL SHOP, INC.
Active
Other names
Mayer Optical Shop
Organization subpart
No
Provider details
NPI number
Authorized official
MR. OTTO P. MAYER JR. OPTICIAN (OPTICIAN/PRESIDENT)
(651) 770-2975
Entity
Organization
Contact information
Practice address
1736 COPE AVE E, MAPLEWOOD, MN 55109-2610
(651) 770-2975
(651) 748-1452
Mailing address
1736 COPE AVE E, MAPLEWOOD, MN 55109-2610
(651) 770-2975
(651) 748-1452
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
—
—
Other
Enumeration date
07/08/2005
Last updated
02/23/2010
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