Dr. Xuanmai Thi Ta
Optometrist
2718 Nicollet Ave Suite No. 103
Minneapolis
, Minnesota 55408-1648
Dr. Xuanmai Thi Ta
Optometrist
2718 Nicollet Ave Suite No. 103
Minneapolis
, Minnesota 55408-1648
(612) 871-2525
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About
Features
Specialties
- Optometrist
Languages spoken
- English
Location
First Address
- Dr. Xuanmai Thi Ta
- 12167 Cartway Curv
- Eden Prairie, MN
- Zip : 55347-4254
- Fax : (612) 871-2525
- Phone : (612) 871-1518
Second Address
- Dr. Xuanmai Thi Ta
- 2718 Nicollet Ave Suite No. 103
- Minneapolis, MN
- Zip : 55408-1648
- Fax : (612) 871-2585
- Phone : (612) 871-1518
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 152W00000X | Optometrist | T2107 | MN |
National Provider Identifier
| NPI | 1003954033 |
|---|---|
| Provider Name | Dr. Xuanmai Thi Ta |
| First Address | Eden Prairie, MN 55347-4254 |
| Second Address | Minneapolis, MN 55408-1648 |
| Gender | F |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 02/02/2007 |
| Last Update Date | 13/03/2008 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| T97995 | (02) | MN |
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.