Latham Optical is a Optometrist Center in Wayzata, Minnesota. It is situated at 852 Lake St E, Unit A, Wayzata and its contact number is 952-476-4185. The authorized person of Latham Optical is Ms. Virginia Domain
who is Cfo of the clinic and their contact number is 952-476-4185. Primary license number for Latham Optical is 2439 (Optometrist) in Minnesota. Latham Optical Center have optometrists who can examine, diagnose, treat, and manage diseases, injuries, and disorders of the visual system, the eye, and associated structures as well as identify related systemic conditions affecting the eye. Optometrists are eye health care professionals who are state-licensed to diagnose and treat diseases and disorders of the eye and visual system.
Complete Center Profile:
Latham Optical Center speciality, address, contact phone number and fax are as below.
Patients can call the eye care center on the below given phone number for appointment.
Specialization:
Optometry
Clinic Address:
852 Lake St E, Unit A, Wayzata, Minnesota, 55391-4523
Phone:
952-476-4185
Fax:
952-476-8812
Authorized/Official Person Profile:
Officially authorized person to contact for any management issues or complaints of this clinic are as below. Person's position and contact details are also mentioned below.
Name:
Ms. Virginia Domain
Position:
Cfo
Contact Number:
952-476-4185
Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS).
NPI details for Latham Optical Center are as mentioned below.
NPI Number:
1679643100
NPI Enumeration Date:
09 Nov, 2006
NPI Last Update On:
08 Apr, 2013
Medical Licenses:
Organizations can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Latham Optical are as mentioned below.
Specialization
License Number
State
Status
Optometrist
2439
Minnesota
Primary
Durable Medical Equipment & Medical Supplies
Secondary
Other Medical Identifiers:
Other legacy medical identifiers of the clinic such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned as below.
Identifier
Type
State
Issuer
808862400
Medicaid
Minnesota
Business Mailing Address:
Business mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned address.
Address:
Latham Optical 852 Lake St E, Unit A Wayzata, Minnesota
Zip:
55391-4526
Phone Number:
952-476-4185
Fax Number:
952-476-8812
Patients can reach Latham Optical at 852 Lake St E, Unit A, Wayzata, Minnesota or can call to book an appointment on 952-476-4185. Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 09 December, 2024.