Organization
BETTY'S MOBILE OPTICAL, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. BETTY KATHLEEN LEERVIG (OWNER)
(651) 688-3486
Entity
Organization
Contact information
Practice address
1001 CLIFF RD E STE 301, BURNSVILLE, MN 55337-1541
(651) 688-3486
Mailing address
1001 CLIFF RD E STE 301, BURNSVILLE, MN 55337-1541
(651) 688-3486
Taxonomy
Speciality
Code
Description
License number
State
332H00000X
Eyewear Supplier
Primary
759560400029
MN
Other
Enumeration date
01/06/2015
Last updated
01/06/2016
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