Organization · Type 2 NPI

Icare Optical, LLC

Customized Equipment (DME) · St. Paul, MN

NPI number 1770913626 Active

Practice location

1001 Johnson Pkwy, Ste 271
St. Paul, MN 55106-3474

Call (651) 315-1766 Map

Fax (651) 318-3651

Mailing address

1815 Ross Ave E
St. Paul, MN 55119-3431

Specialties and licenses

TaxonomyCodeLicense
Customized Equipment (DME) Primary 332BC3200XNone listed

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About NPI 1770913626

Icare Optical, LLC's National Provider Identifier is 1770913626, issued on Nov 13, 2013. The primary taxonomy on file is Customized Equipment (DME) (332BC3200X), and the practice location is in St. Paul, MN. The record was last updated on Nov 13, 2013.