Mary K Laconic is a Crystal, Minnesota based female Optometrist who is specialized in Optometry. Active license number of Mary K Laconic is 1674 for Optometry in Minnesota. Mary K Laconic 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. She completed pre-professional undergraduate education in a college or university and four years of professional education at a college of optometry, leading to the doctor of optometry (O.D.) degree. She is a eye health care professional who is state-licensed to diagnose and treat diseases and disorders of the eye and visual system.
Complete Profile:
Mary K Laconic speciality, credentials, practice address, contact phone number and fax are as below.
Patients can directly walk in or can call on the below given phone number for appointment.
Specialization:
Optometry
Credentials:
OD
Gender:
Female
Practice Address:
5200 Douglas Dr N, Crystal, Minnesota, 55429-3104
Phone:
763-537-3213
Fax:
763-537-6732
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 are as mentioned below.
NPI Number:
1316941362
NPI Enumeration Date:
08 Jun, 2005
NPI Last Update On:
29 Jun, 2011
Medical Licenses:
Doctors can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Mary K Laconic are as mentioned below.
License Number
Specialization
State
Status
1674
Optometry
Minnesota
Primary
Other Medical Identifiers:
Other legacy medical identifiers associated with Mary K Laconic such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned as below.
Identifier
Type
State
Issuer
749823300
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:
5200 Douglas Dr N, Crystal, Minnesota
Zip:
55429-3104
Phone Number:
763-537-3213
Fax Number:
763-537-6732
Patients can reach Mary K Laconic at 5200 Douglas Dr N, Crystal, Minnesota or can call to book an appointment on 763-537-3213. Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 11 November, 2024.