| NPI | 1831330679 |
|---|---|
| Doing Business As | EYE DOC |
| Entity Type | Organization |
| Authorized Contact | SANDY PHAM-VANG CEO 763-639-0103 |
| Organization Subpart ? | No |
| Primary Taxonomy | 152W00000X Optometrist (Licence: MN 3056) |
| Additional Taxonomies | 302F00000X Exclusive Provider Organization (Licence: MN 3056) |
| Enumeration Date | 2009-03-06 |
| Last Update Date | 2023-11-08 |