Organization
ANNANDALE EYE CLINIC INC
Active
Other names
Litchfield Eye Center
Organization subpart
No
Provider details
NPI number
Authorized official
DR. TERRENCE LEE TANCABEL O.D. (CEO)
(320) 274-3701
Entity
Organization
Contact information
Practice address
135 N SIBLEY AVE, LITCHFIELD, MN 55355-2138
(320) 593-3100
Mailing address
135 N SIBLEY AVE, LITCHFIELD, MN 55355-2138
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
1765
MN
Other
Enumeration date
07/30/2007
Last updated
07/14/2009
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