Don Sealock, O.D., P.a.
Organization Active NPI Eyewear Supplier · Watertown, MN
NPI 1720537277 · NPPES record last updated Sep 26, 2016
Key facts
- NPI
- 1720537277
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Eyewear Supplier 332H00000X
- Legal business name
- DON SEALOCK, O.D., P.A.
- Practice address
- 216 Lewis Ave S
Watertown, MN 55388-4625 - Phone
- (952) 955-2123
- Fax
- (952) 955-2624
- NPI assigned
- Sep 26, 2016
- Organization subpart
- Yes
- Parent organization (as reported)
- DON SEALOCK, O.D., P.A.
Authorized official
- Name
- Jennie J Sealock
- Title
- Secr/Treas
- Phone
- (763) 551-0529
Parent organization (reported in NPPES) 1
Corporate family (same tax ID) 9
National Provider Directory
- Tax ID family
- Don Sealock OD PA
- Part of
- Don Sealock OD PA
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Eyewear Supplier | 332H00000X | Yes |
Addresses
Primary practice location
216 Lewis Ave S
Watertown, MN 55388-4625
Mailing address
216 Lewis Ave S
PO Box 969
Watertown, MN 55388-4625
Phone (952) 955-2123
Other names
- Watertown Eye Clinic
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All providers in Watertown, MN · Eyewear Supplier in Minnesota
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Sep 26, 2016. 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.