Organization
SAVAGE EYE CLINIC
Active
Parent organization
EAGAN EYE CLINIC
Other names
Eagan Eye Clinic
Organization subpart
Yes
Provider details
NPI number
Legal business name
EAGAN EYE CLINIC
Authorized official
KRIS HAFFNER (CLINIC ADMINISTRATOR)
(651) 454-5661
Entity
Organization
Contact information
Practice address
3930 CEDAR GROVE PKWY, EAGAN, MN 55122-1403
(651) 454-5661
(651) 454-5669
Mailing address
5809 EGAN DR, SAVAGE, MN 55378-4918
(952) 226-2020
(952) 226-2032
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
6350254
MN
Other
Enumeration date
07/17/2014
Last updated
07/17/2014
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