IndividualActive
Anna Percival, OD
NPI 1972179547 · Optometrist · White Bear Lake, MN
Provider details
- NPI number
- 1972179547
- Entity type
- Individual
- Primary specialty
- OptometristEye and Vision Services Providers
- Credential
- OD
- Sex
- Female
- Sole proprietor
- No
- License
- 3727 (MN)
Specialties & taxonomies
Eye and Vision Services Providers
Practice location
4750 Washington Sq
White Bear Lake, MN 55110-3257
Phone: (651) 429-3379
Approximate (ZIP-level) locationGet directions
Mailing address
4750 Washington Sq
White Bear Lake, MN 55110-3257
Registry dates
- Enumerated
- 2021-06-03
- Last updated
- 2021-06-03
- Certified
- 2021-06-03
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.