Index 53 Opt Ical Co Inc
Index 53 Opt Ical Co Inc is an Optician in St Stephen, Minnesota. Registered with an NPI since 2008.
- In the registry since
- 2008
- Specialties on file
- 2
What do these letters mean?
- Inc — Incorporated
- A form of business registration, not a clinical qualification.
Practice location Address checks out
306 Main St ESt Stephen, MN 56375
Phone: (320) 252-9380
Fax: (320) 654-9502
Show map & directions
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Optician (primary) | Taxonomy 156FX1800X |
|---|---|
| Customized Equipment (DME) | Taxonomy 332BC3200X |
Record details
| NPI number | 1477728418 |
|---|---|
| Entity type | Organization (Type 2) |
| Organization subpart | No |
| Authorized official | Lawrence Rudolph — Pres Optician · (320) 252-9380 |
| NPI enumerated | April 29, 2008 |
| Last updated in NPPES | March 27, 2014 |
| Mailing address | Po Box 1111, St Cloud, MN 56302 |