Healthcare Provider Details

I. General information

NPI: 1356498075
Provider Name (Legal Business Name): OCULARRA HOLDING. INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 01/04/2007
Last Update Date: 09/11/2025
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

570 NORTHTOWN DR NE
BLAINE MN
55434-1043
US

IV. Provider business mailing address

15780 SKYLINE AVE NW
PRIOR LAKE MN
55372-1629
US

V. Phone/Fax

Practice location:
  • Phone: 763-784-4081
  • Fax: 763-784-0694
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code156FX1800X
TaxonomyOptician
License Number
License Number State
# 2
Primary TaxonomyY
Taxonomy Code152W00000X
TaxonomyOptometrist
License Number
License Number State

VIII. Authorized Official

Name: MR. MERLIN STRAND JR.
Title or Position: OWNER
Credential:
Phone: 763-784-4081