Organization Name: | IMI'S MN INC |
NPI Number: | 1043353949 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | MIKE ARENDS (OWNER) |
Mailing Address: | 12577 Wayzata Blvd Minnetonka |
State: | MN US |
Postal Code: | 553051938 |
Phone Number: | 9525464414 |
Fax Number: | 9525410831 |
NPI Enumeration Date: | 02/14/2007 |
NPI Last Update Date: | 07/08/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 156FC0800X |
License Number: | |
Healthcare Provider Taxonomy: (Secondary) | X |
State: | |
Taxonomy Type: | Eye and Vision Services Providers |
Taxonomy Classification: | Technician/Technologist |
Taxonomy Specialization: | Contact Lens |
Taxonomy Definition: | An optician or other ancillary support staff person who, where authorized by state law and trained or certified to do so, may fit or dispense contact lenses to a patient based on the prescription of an optometrist or medical physician. |