NPI | 1356450969 |
---|---|
Former Legal Business Name | ADVANCED EYE CARE PROFESSIONALS |
Entity Type | Organization |
Authorized Contact | AMY M RUDSER Dr./Optometrist 952-898-4088 |
Organization Subpart ? | No |
Primary Taxonomy | 152W00000X Optometrist (Licence: MN LD 3031000) |
Enumeration Date | 2006-08-29 |
Last Update Date | 2020-08-22 |