Organization
OPTOMETRIC VISION SERVICES PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
GREG MACIK OD (OFFICER)
(952) 913-7520
Entity
Organization
Contact information
Practice address
7000 YORK AVE S, EDINA, MN 55435-4213
(952) 922-8118
Mailing address
150 E TRAVELERS TRL, SUITE D, BURNSVILLE, MN 55337-6889
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
—
—
Other
Enumeration date
12/07/2007
Last updated
12/07/2007
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