Organization
PROFESSIONAL VISION CARE, PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. QUY T. TRAN OD (PRESIDENT)
(952) 807-4173
Entity
Organization
Contact information
Practice address
1409 131ST AVE NE, BLAINE, MN 55449-4108
(952) 807-4173
Mailing address
1409 131ST AVE NE, BLAINE, MN 55449-4108
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
3008
MN
Other
Enumeration date
03/11/2008
Last updated
03/11/2008
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