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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

FOREST LAKE OPTOMETRIC CENTER

Active Organization

FOREST LAKE OPTOMETRIC CENTER is a Optometrist organization located in FOREST LAKE, Minnesota. NPI 1053473835 is currently active in the NPPES registry. Verify at CMS.

Optometrist · FOREST LAKE, MN

Registration Details

NPI Number
1053473835
Provider Type
Organization
NPI Issued
Dec 15, 2006 (19.656709593304 yrs)
Last Updated
Dec 1, 2011
License
2070000 (MN)

Practice Information

Address
20 LAKE ST N
FOREST LAKE, MN, 550252523
Browse MN providers · Browse ZIP 55025
Phone
6514644824
Fax
6514640003
Primary Specialty
Optometrist
152W00000X

Other Optometrist Organizations in FOREST LAKE, MN

Name NPI
DR RICHARD D BRUESCH, PA 1912115999
Data sourced from the NPPES National Provider Identifier registry. Healthcare organizations registered in NPPES are assigned an NPI number for use in insurance billing and claims. This information is for informational purposes only. For official verification, use the NPPES NPI Registry.