Organization
BUFFALO EYE CLINIC P A
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. RODNEY A MELGARD O.D. (PRESIDENT /OWNER)
(763) 682-1282
Entity
Organization
Contact information
Practice address
103 CENTER DR, SUITE 100, BUFFALO, MN 55313-2957
(763) 682-1282
(763) 682-4205
Mailing address
103 CENTER DR, SUITE 100, BUFFALO, MN 55313-2957
(763) 682-1282
(763) 682-4205
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
101068900
—
MN
Enumeration date
07/14/2006
Last updated
07/24/2012
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