OrganizationActive
Eagan Eye Clinic LLC
NPI 1023615069 · Optometrist · Becker, MN
Provider details
- NPI number
- 1023615069
- Entity type
- Organization
- Primary specialty
- OptometristEye and Vision Services Providers
- Parent organization
- Eagan Eye Clinic LLC
- Organization subpart
- Yes
- Authorized official
- Benjamin Chudner, President(972) 370-5552
Specialties & taxonomies
Eye and Vision Services Providers
Practice location
12390 Sherburne Ave
Becker, MN 55308-9147
Phone: (632) 441-7007
Approximate (ZIP-level) locationGet directions
Mailing address
211 E Broadway
Alton, IL 62002-6220
Registry dates
- Enumerated
- 2020-10-02
- Last updated
- 2020-10-02
- Certified
- 2020-10-02
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.