Organization
GRANITE FAMILY EYECARE, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
TODD TR OD (OWNER)
(320) 564-4997
Entity
Organization
Contact information
Practice address
323 6TH AVE, MADISON, MN 56256-1310
(320) 564-4997
Mailing address
870 PRENTICE ST, GRANITE FALLS, MN 56241-1521
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
—
—
Other
Enumeration date
03/17/2025
Last updated
03/17/2025
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