IndividualActive
Jacqueline Honstrom
NPI 1760709125 · Optician · Wahkon, MN
Provider details
- NPI number
- 1760709125
- Entity type
- Individual
- Primary specialty
- OpticianEye and Vision Services Providers
- Sex
- Female
- Sole proprietor
- No
- License
- 2148 (MN)
Specialties & taxonomies
Eye and Vision Services Providers
Eye and Vision Services Providers
Practice location
270 N Main St
Wahkon, MN 56386-4401
Phone: (320) 495-3500
Fax: (320) 495-3502
Approximate (ZIP-level) locationGet directions
Mailing address
270 N Main St
Wahkon, MN 56386-4401
Registry dates
- Enumerated
- 2010-04-26
- Last updated
- 2010-04-26
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.