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Organization

KAREN LEE LEYDE

Active
Other names
EyeWorks Optical
Organization subpart
No

Provider details

NPI number
Authorized official
MRS. KAREN LEE LEYDE (OWNER)
(651) 451-1100
Entity
Organization

Contact information

Practice address
6575 CAHILL AVE STE 101, INVER GROVE HEIGHTS, MN 55076-2065
(651) 451-1100
(651) 451-3939
Mailing address
6575 CAHILL AVE STE 101, INVER GROVE HEIGHTS, MN 55076-2065
(651) 451-1100
(651) 451-3939

Taxonomy

Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
493719800
MN
01
6C243EY
BLUE SHIELD OF MN
MN
Enumeration date
02/27/2007
Last updated
03/02/2010
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