Dr. Joseph J. Jamros Optometry, LTD.
Organization Active NPI Optometrist · Moose Lake, MN
NPI 1265627327 · NPPES record last updated Sep 12, 2007
Key facts
- NPI
- 1265627327
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Optometrist 152W00000X
- License
- 1621 (MN)
- Legal business name
- DR. JOSEPH J. JAMROS OPTOMETRY, LTD.
- Practice address
- 312 Elm Ave.
Moose Lake, MN 55767 - Phone
- (218) 485-8495
- Fax
- (218) 485-8498
- NPI assigned
- Sep 12, 2007
- Organization subpart
- No
Authorized official
- Name
- Dr. Joseph J. Jamros
- Title
- Optometrist
- Phone
- (218) 485-8495
Practitioners 2
-
Lezlie M Puetz, D.C.
National Provider Directory
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Optometrist |
152W00000X | 1621 | MN | Yes |
Addresses
Primary practice location
312 Elm Ave.
Moose Lake, MN 55767
Mailing address
312 Elm Ave.
Moose Lake, MN 55767
Phone (218) 485-8495
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0497150001 | Other | MN | ADMINISTAR |
Other providers in Moose Lake, MN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Sep 12, 2007. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.