Organization
G MABIE EYECARE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. SARA MABIE OD (PRESIDENT)
(651) 702-2504
Entity
Organization
Contact information
Practice address
1955 GENEVA AVE N, OAKDALE, MN 55128-4108
(651) 702-2504
Mailing address
1955 GENEVA AVE N, OAKDALE, MN 55128-4108
(651) 702-2504
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
2593
MN
156FX1800X
Optician
096034
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
718317800
—
MN
Enumeration date
02/05/2014
Last updated
02/05/2014
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