| Comprehensive Ophthalmology, LLC | |
|
3209 West 76th St #303 Edina MN 55435 | |
| (952) 844-2020 | |
| (952) 844-2021 |
| Full Name | Comprehensive Ophthalmology, LLC |
|---|---|
| Speciality | Clinic/center |
| Location | 3209 West 76th St, Edina, Minnesota |
| Authorized Official Name and Position | Paul F Bruer (OWNER) |
| Authorized Official Contact | 9524768602 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Comprehensive Ophthalmology, LLC 275 Hollander Rd Wayzata MN 55391 Ph: (952) 476-8602 | Comprehensive Ophthalmology, LLC 3209 West 76th St #303 Edina MN 55435 Ph: (952) 844-2020 |
| NPI Number | 1396725602 |
|---|---|
| Provider Enumeration Date | 01/20/2006 |
| Last Update Date | 10/17/2007 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1396725602 | NPI | - | NPPES |
| 639R1CO | Other | BCBS |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261Q00000X | Clinic/center | (NU) | Primary |
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