Organization
GIBBONS OPTICAL, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. KAREN MARIE BJORNGAARD O.D. (OPTOMETRIST)
(507) 288-6964
Entity
Organization
Contact information
Practice address
150 17TH AVE NW, ROCHESTER, MN 55901-0321
(507) 288-6964
(507) 252-5307
Mailing address
150 17TH AVE NW, ROCHESTER, MN 55901-0321
(507) 288-6964
(507) 252-5307
Taxonomy
Speciality
Code
Description
License number
State
332H00000X
Eyewear Supplier
Primary
2343
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
691325300
—
MN
Enumeration date
08/31/2007
Last updated
05/27/2008
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