Organization
1815 VISION LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JAMES HAWLEY (OWNER)
(612) 599-0153
Entity
Organization
Contact information
Practice address
5515 XERXES AVE N, BROOKLYN CENTER, MN 55430-2856
(763) 560-1636
Mailing address
13195 WEAVER LAKE RD, MAPLE GROVE, MN 55369-9410
(763) 420-5112
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
—
—
Other
Enumeration date
11/03/2021
Last updated
11/03/2021
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