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General NPI Number Information
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NPI Number | 1275560542
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Entity Type | Organization
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Legal Business Name | DRS. NORTH & WATSON, OPTOMETRISTS P. A.
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Dates
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Enumeration Date | 06/26/2006
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Last Update Date | 09/25/2025
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Provider Practice Location Address
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Address Line | 1595 HIGHWAY 36 W STE 920
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City | ROSEVILLE
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State | MN
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Zip | 55113-1094
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Country | US
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Telephone | 651-639-0407
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Fax | 651-639-2503
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Provider Business Mailing Address
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Address Line | 1595 HIGHWAY 36 W STE 920
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City | ROSEVILLE
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State | MN
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Zip | 55113-1094
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Country | US
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Telephone | 651-639-0407
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Fax | 651-639-2503
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Authorized Official
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Title or Position | CORPORATE ADMINISTRATOR
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Name | ERIN CARLSON
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Credential |
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Telephone | 952-435-3686
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 152W00000X
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Taxonomy Name | Optometrist
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License Number |
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License Number State |
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