OrganizationActive
Blaine Eye Clinic Optometrists, P.A.
NPI 1043363401 · Durable Medical Equipment & Medical Supplies · Blaine, MN
Provider details
- NPI number
- 1043363401
- Entity type
- Organization
- Primary specialty
- Durable Medical Equipment & Medical SuppliesSuppliers
- Authorized official
- Lynn Sulerud, Owner
Practice location
12170 Aberdeen St Ne
Blaine, MN 55449-4716
Phone: (763) 757-7000
Fax: (763) 757-3328
Mailing address
12170 Aberdeen St Ne
Blaine, MN 55449-4716
Registry dates
- Enumerated
- 2007-01-19
- Last updated
- 2011-02-15
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.