| NPI | 1467800664 |
|---|---|
| Doing Business As | EYE DOC |
| Entity Type | Organization |
| Authorized Contact | SANDY PHAM-VANG CEO 763-316-4193 |
| Organization Subpart ? | No |
| Primary Taxonomy | 302R00000X Health Maintenance Organization (Licence: MN 3056) |
| Additional Taxonomies | 332B00000X Durable Medical Equipment & Medical Supplies (Licence: MN 3056) |
| Enumeration Date | 2016-05-27 |
| Last Update Date | 2016-05-27 |