IndividualActive
Abolfazl Monzavi, OD
NPI 1912960691 · Optometrist · Eagan, MN
Provider details
- NPI number
- 1912960691
- Entity type
- Individual
- Primary specialty
- OptometristEye and Vision Services Providers
- Credential
- OD
- Sex
- Male
- Sole proprietor
- No
- License
- 2826 (MN)
Specialties & taxonomies
Eye and Vision Services Providers
Practice location
1110 Yankee Doodle Rd
Eagan, MN 55121-2092
Phone: (651) 454-3970
Approximate (ZIP-level) locationGet directions
Mailing address
2925 Chicago Ave
Minneapolis, MN 55407-1321
Registry dates
- Enumerated
- 2006-04-11
- Last updated
- 2021-03-11
- Certified
- 2021-03-11
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.