| NPI | 1649323320 |
|---|---|
| Doing Business As | SHAKOPEE VISION CLINIC |
| Entity Type | Organization |
| Authorized Contact | CHRISTINE M OSSMO Manager 952-884-8338 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 152W00000X Optometrist (Licence: MN 1764) |
| Enumeration Date | 2007-01-18 |
| Last Update Date | 2009-08-20 |