Healthcare Provider Details

I. General information

NPI: 1982756789
Provider Name (Legal Business Name): VISION PRO II INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 01/18/2007
Last Update Date: 01/30/2025
Certification Date: 01/30/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1344 W ARROWHEAD RD
DULUTH MN
55811-2218
US

IV. Provider business mailing address

1344 W ARROWHEAD RD
DULUTH MN
55811-2218
US

V. Phone/Fax

Practice location:
  • Phone: 218-728-6211
  • Fax: 715-392-6228
Mailing address:
  • Phone: 218-728-6211
  • Fax: 715-392-6228

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code152W00000X
TaxonomyOptometrist
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code156F00000X
TaxonomyTechnician/Technologist
License Number
License Number State

VIII. Authorized Official

Name: JAMIE LOU FREY
Title or Position: VP-OPERATIONS
Credential:
Phone: 715-392-6222