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

CODY MACKENZIE, ABOC

Active Sole Proprietor

CODY MACKENZIE, ABOC is a Optician, Dispensing healthcare provider located in SAINT PAUL, Minnesota. NPI 1679257398 is currently active in the NPPES registry. Verify at CMS.

Optician, Dispensing · SAINT PAUL, MN

Registration Details

NPI Number
1679257398
Provider Type
Individual
Gender
Male
NPI Issued
Jun 13, 2023 (3.1875656445772 yrs)
Last Updated
Jun 13, 2023
License
237912 (MN)
Sole Proprietor
Yes

Practice Information

Address
506 7TH ST W
SAINT PAUL, MN, 551023049
Browse MN providers · Browse ZIP 55102
Phone
6513334420
Primary Specialty
Optician, Dispensing
156FX1800X

Other Optician, Dispensing Providers in SAINT PAUL, MN

Name Credential NPI
TERI RACHEL FOCHT ABOC 1831361302
JAMES EDWARD JOHNSON 1386883254
MR. MARSHALL ALLAN DALY 1851712384
WADE NOOLEEN ABOC NCLC 1619472545
GABRIELLE FECKERS 1467332544
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.