Organization
CALVIN OPTOMETRY PLLC
Active
Other names
Scenic Eye Care
Organization subpart
No
Provider details
NPI number
Authorized official
DONALD WAYNE CALVIN O.D. (CHIEF MANAGER)
(651) 739-5173
Entity
Organization
Contact information
Practice address
1995 BURNS AVE., SUITE B, SAINT PAUL, MN 55119-4906
(651) 739-5173
(651) 739-8907
Mailing address
2540 EAGLE VALLEY DR, WOODBURY, MN 55129-4206
(651) 738-2758
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
1643
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
669493400
—
MN
Enumeration date
12/26/2006
Last updated
01/08/2009
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