Healthcare Provider Details

I. General information

NPI: 1699768127
Provider Name (Legal Business Name): DAVID N WARSHAWSKY O.D.
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 08/30/2005
Last Update Date: 06/18/2026
Certification Date: 06/18/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

20 CENTRAL AVE
OSSEO MN
55369-1241
US

IV. Provider business mailing address

20 CENTRAL AVE
OSSEO MN
55369-1241
US

V. Phone/Fax

Practice location:
  • Phone: 763-424-1206
  • Fax: 763-424-6838
Mailing address:
  • Phone: 763-424-1206
  • Fax: 763-424-6838

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code152W00000X
TaxonomyOptometrist
License Number1670
License Number StateMN

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: