| Organization Name: | CONRAD EYE SERVICES, PLC |
| NPI Number: | 1649379132 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | DANIEL S CONRAD (OWNDER) |
| Mailing Address: | 200 Village Center Dr Suite 300 North Oaks |
| State: | MN US |
| Postal Code: | 551277090 |
| Phone Number: | 6514820902 |
| Fax Number: | |
| NPI Enumeration Date: | 09/21/2006 |
| NPI Last Update Date: | 07/08/2007 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 261QS0132X |
| License Number: | |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | |
| Taxonomy Type: | Ambulatory Health Care Facilities |
| Taxonomy Classification: | Clinic/Center |
| Taxonomy Specialization: | Ophthalmologic Surgery |
| Taxonomy Definition: | |