Organization Name: | ST PAUL EYE CLINIC PA |
NPI Number: | 1669574646 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | THOMAS J. RICE (PRESIDENT) |
Mailing Address: | 2080 Woodwinds Dr Suite 230 Woodbury |
State: | MN US |
Postal Code: | 551252524 |
Phone Number: | 6517386800 |
Fax Number: | |
NPI Enumeration Date: | 09/01/2006 |
NPI Last Update Date: | 06/15/2012 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 332H00000X |
License Number: | |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | |
Taxonomy Type: | Suppliers |
Taxonomy Classification: | Eyewear Supplier (Equipment, not the service) |
Taxonomy Specialization: | |
Taxonomy Definition: | An organization that provides spectacles, contact lenses, and other vision enhancement devices prescribed by an optometrist or ophthalmologist. |