Doctor Name: | DR. BYRON K FLECK |
NPI Number: | 1275626731 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | O.D. |
License Number: | 2788-035 |
Business Practice Address: | 4740 Mall Drive Hermantown, MN - 55811 |
Business Phone Number: | 2187271204 |
Business Fax Number: | |
Mailing Address: | 8664 Evergreen Ln, COTTON |
State: | MN |
Postal Code: | 557248109 |
Phone Number: | 2184823284 |
Fax Number: | |
NPI Enumeration Date: | 10/02/2006 |
NPI Last Update Date: | 08/13/2008 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 152WC0802X |
License Number: | 2788-035 |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | WI |
Taxonomy Type: | Eye and Vision Services Providers |
Taxonomy Classification: | Optometrist |
Taxonomy Specialization: | Corneal and Contact Management |
Taxonomy Definition: | The professional activities performed by an Optometrist related to the fitting of contact lenses to an eye, ongoing evaluation of the cornea |