| NPI | 1174596399 |
|---|---|
| Doing Business As | PARK OPTICAL |
| Entity Type | Organization |
| Authorized Contact | CANDACE SIMERSON President 952-567-6100 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207W00000X Ophthalmology |
| Additional Taxonomies | 152WC0802X Optometrist, Corneal and Contact Management |
| 332H00000X Eyewear Supplier (Equipment, not the service) | |
| Enumeration Date | 2006-02-08 |
| Last Update Date | 2020-08-22 |