Organization · Type 2 NPI

Don Sealock, O.d., P.a.

Eyewear Supplier · Minnetonka, MN

NPI number 1700335247 Active

Practice location

15450 Highway 7 # 100
Minnetonka, MN 55345-3522

Fax (952) 933-2831

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.

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NPI record

NPI: 1700335247
Entity type: Organization (Type 2)
Issued: Sep 26, 2016
Last updated: Feb 6, 2019
Status: Active
Subpart: Yes of Don Sealock, O.d., P.a.

Other names

<unavail>
Glen Lake Optical · doing business as
Glen Lake Optical · doing business as

Authorized official

Jennie J Sealock
Secr/treas
(763) 551-0529

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About NPI 1700335247

Don Sealock, O.d., P.a.'s National Provider Identifier is 1700335247, issued on Sep 26, 2016. The primary taxonomy on file is Eyewear Supplier (332H00000X), and the practice location is in Minnetonka, MN. The record was last updated on Feb 6, 2019.