Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
SAMANTHA ILLSLEY
Active Sole ProprietorSAMANTHA ILLSLEY is a Optician healthcare provider located in SAINT CLOUD, Minnesota. NPI 1083380653 is currently active in the NPPES registry. Verify at CMS.
Optician · SAINT CLOUD, MN
Registration Details
- NPI Number
- 1083380653
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Aug 23, 2021 (4.9975504029697 yrs)
- Last Updated
- Aug 23, 2021
- Sole Proprietor
- Yes
Practice Information
- Address
-
141 33RD AVE SSAINT CLOUD, MN, 563013753Browse MN providers · Browse ZIP 56301
- Phone
- 3204436250
- Primary Specialty
-
Optician
156F00000X
Other Optician Providers in SAINT CLOUD, MN
| Name | Credential | NPI |
|---|---|---|
| MERSADIES ST ANDREW | — | 1194490961 |
| MISTY HOKANSON | ATCT | 1578399549 |
| KAITLYN JEANNETTE ANDERSON | — | 1396571386 |
| MS. JULIE ANN STEINEMANN | ADVANCED TCT | 1629895909 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.