Organization
HOMETOWN EYE CARE, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JENNIE J SEALOCK (PRESIDENT)
(763) 263-8444
Entity
Organization
Contact information
Practice address
621 ROSE DR, BIG LAKE, MN 55309-4653
(763) 263-8444
(763) 263-8583
Mailing address
621 ROSE DR, BIG LAKE, MN 55309-4653
(763) 263-8444
(763) 263-8583
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
812523600
—
MN
Enumeration date
07/06/2006
Last updated
10/13/2008
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