Organization
LITCHFIELD EYE CLINIC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
TERRANCE TANCABEL OD (OPTOMETRY)
(320) 693-3100
Entity
Organization
Contact information
Practice address
715 N SIBLEY AVE, LITCHFIELD, MN 55355-1765
(320) 693-3100
(320) 693-2312
Mailing address
715 N SIBLEY AVE, LITCHFIELD, MN 55355-1765
(320) 693-3100
(320) 693-2312
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
1586
MN
Other
Enumeration date
11/15/2006
Last updated
08/22/2020
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