841 Optometry PC
Organization Active NPI Optometrist · Minnetonka, MN
NPI 1588030787 · NPPES record last updated Aug 11, 2015
Key facts
- NPI
- 1588030787
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Optometrist 152W00000X
- License
- 3219 (MN)
- Legal business name
- 841 OPTOMETRY PC
- Practice address
- 5817 Ivy LN
Minnetonka, MN 55345-5314 - Phone
- (303) 887-6631
- NPI assigned
- Aug 11, 2015
- Organization subpart
- No
Authorized official
- Name
- Jason C Piant, OD
- Title
- Optometrist
- Phone
- (303) 887-6631
National Provider Directory
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Optometrist |
152W00000X | 3219 | MN | Yes |
Addresses
Primary practice location
5817 Ivy LN
Minnetonka, MN 55345-5314
Mailing address
5817 Ivy LN
Minnetonka, MN 55345-5314
Phone (303) 887-6631
Other providers in Minnetonka, MN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Aug 11, 2015. 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.