OrganizationActive
David Thelen
NPI 1407927734 · Optician · Watertown, MN
Provider details
- NPI number
- 1407927734
- Entity type
- Organization
- Primary specialty
- OpticianEye and Vision Services Providers
- Organization subpart
- No
- Authorized official
- Jane Thelen, Owner(763) 295-4044
Specialties & taxonomies
Eye and Vision Services Providers
Practice location
204 Lewis Ave S
Suite 102
Watertown, MN 55388-4500
Phone: (952) 955-3553
Fax: (952) 955-1900
Approximate (ZIP-level) locationGet directions
Mailing address
204 Lewis Ave S
Watertown, MN 55388-4500
Other names (DBA / former)
- Doing business as
- Carver Eye Care
Registry dates
- Enumerated
- 2006-11-10
- Last updated
- 2020-08-22
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.