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NPI Code Detail

MEDICARE: KOPP & OLSON EYE CARE, INC

MEDICARE: KOPP & OLSON EYE CARE, INC
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1152W00000XOptometrist3098MN

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1942721949
Entity Type Code : Organization
Provider Name (Legal Business Name) : KOPP & OLSON EYE CARE, INC
Provider Business Mailing Address
First Line : 6575 CAHILL AVE STE 101
Second Line :
City : INVER GROVE HEIGHTS
State : MN
Zip : 55076-2065
Country : US
Telephone Number : 651-451-1100
Fax Number : 651-451-3939
Provider Business Practice Location Address
First Line : 6575 CAHILL AVE STE 101
Second Line :
City : INVER GROVE HEIGHTS
State : MN
Zip : 55076-2065
Country : US
Telephone Number : 651-451-1100
Fax Number : 651-451-3939
Authorized Official
Title or Position : PRESIDENT
Name : DR. HEIDI CATHERINE KOPP
Credential : OD
Telephone Number : 651-451-1100
Provider Enumeration Date : 06/29/2017
Last Update Date : 07/21/2022

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Directions to “KOPP & OLSON EYE CARE, INC ” Practice Location

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