Organization · Type 2 NPI

DR Petronack & Associates Optometrists Inc

Optician · Fridley, MN

NPI number 1932305489 Active

Practice location

7510 University Ave NE
Fridley, MN 55432-2614

Fax (763) 208-7958

Specialties and licenses

Taxonomy	Code	License
Optician Primary	156FX1800X	None listed

Optician: Opticians help fit eyeglasses and contact lenses, following prescriptions from Ophthalmologists and Optometrists. They also help customers decide which eyeglass frame or contact lenses to buy.

NPI record

NPI: 1932305489
Entity type: Organization (Type 2)
Issued: Jun 22, 2007
Last updated: Oct 18, 2019
Status: Active

Other names

<unavail>
Fridley Optical & Eyecare · doing business as
Fridley Optical & Eyecare · doing business as

Authorized official

Mr. Michael Petronack
Owner
(763) 784-3997

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This page mirrors the public NPPES file. For credentialing or billing, confirm it on the official CMS NPI Registry, and check the license with the state board.

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About NPI 1932305489

DR Petronack & Associates Optometrists Inc's National Provider Identifier is 1932305489, issued on Jun 22, 2007. The primary taxonomy on file is Optician (156FX1800X), and the practice location is in Fridley, MN. The record was last updated on Oct 18, 2019.