Alicia Marie Alvarado
Optomitrist - Corneal and Contact Lenses
1202 Moore Lake Dr E
Fridley
, Minnesota 55432
Alicia Marie Alvarado
Optomitrist - Corneal and Contact Lenses
1202 Moore Lake Dr E
Fridley
, Minnesota 55432
(763) 574-0594
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About
Features
Specialties
- Optomitrist - Corneal and Contact Lenses
Languages spoken
- English
Location
First Address
- Alicia Marie Alvarado
- 1202 Moore Lake Dr E
- Fridley, MN
- Zip : 55432-5170
- Fax : (763) 574-0594
- Phone : (763) 574-0075
Second Address
- Alicia Marie Alvarado
- 1202 Moore Lake Dr E
- Fridley, MN
- Zip : 55432
- Fax : (763) 574-0594
- Phone : (763) 574-0075
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 152WC0802X | Optomitrist - Corneal and Contact Lenses | 3484 | MN |
National Provider Identifier
| NPI | 1295185122 |
|---|---|
| Provider Name | Alicia Marie Alvarado |
| First Address | Fridley, MN 55432-5170 |
| Second Address | Fridley, MN 55432 |
| Gender | F |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 22/06/2016 |
| Last Update Date | 14/05/2018 |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.