| NPI | 1730100181 |
|---|---|
| Doing Business As | BURNSVILLE EYE CLINIC |
| Entity Type | Organization |
| Authorized Contact | GREGORY M. MACIK President 952-894-1400 |
| Organization Subpart ? | No |
| Primary Taxonomy | 152W00000X Optometrist (Licence: MN 2973000) |
| Enumeration Date | 2006-07-21 |
| Last Update Date | 2020-08-22 |