Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 152WC0802X | Optomitrist - Corneal and Contact Lenses | 3231 | MN |
NPI | 1134416605 |
---|---|
Provider Name | Thomas L Elton |
First Address | Bloomington, MN 55431-3100 |
Second Address | Bloomington, MN 55431-3100 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 06/07/2011 |
Last Update Date | 06/07/2011 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
3231 | MN OD LICENSE (01) | MN |