Healthcare Provider Details

I. General information

NPI: 1912194234
Provider Name (Legal Business Name): VISUAL STRATEGIES OF APPLE VALLEY LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 10/01/2007
Last Update Date: 10/01/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

7373 147TH ST W SUITE 144
APPLE VALLEY MN
55124-7690
US

IV. Provider business mailing address

7373 147TH ST W SUITE 144
APPLE VALLEY MN
55124-7690
US

V. Phone/Fax

Practice location:
  • Phone: 952-270-8032
  • Fax: 952-431-3909
Mailing address:
  • Phone: 952-270-8032
  • Fax: 952-431-3909

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code152WV0400X
TaxonomyVision Therapy Optometrist
License Number
License Number State

VIII. Authorized Official

Name: MS. HEMMA MARIA THERESIA RUSOFF
Title or Position: VISUAL TRAINER
Credential: VT
Phone: 952-270-8032