Organization
MAYER OPTICAL SHOP, INC.
Active
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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