Organization · Type 2 NPI
Prodigy Optical, Inc
Eyewear Supplier · Richmond, MN
NPI number
1457549800
Active
Practice location
314 Ivy Ave SE
Richmond, MN 56368-4509
Fax (320) 597-5250
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Eyewear Supplier Primary | 332H00000X | None listed |
Eyewear Supplier: An organization that provides spectacles, contact lenses, and other vision enhancement devices prescribed by an optometrist or ophthalmologist.
About NPI 1457549800
Prodigy Optical, Inc's National Provider Identifier is 1457549800, issued on Oct 11, 2007. The primary taxonomy on file is Eyewear Supplier (332H00000X), and the practice location is in Richmond, MN. The record was last updated on Oct 11, 2007.