Provider Demographics
NPI:1861544371
Name:EYE DOCTORS INC
Entity type:Organization
Organization Name:EYE DOCTORS INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OPTMETRIST
Authorized Official - Prefix:DR
Authorized Official - First Name:MELISSA
Authorized Official - Middle Name:SUE
Authorized Official - Last Name:VIKER
Authorized Official - Suffix:
Authorized Official - Credentials:OD
Authorized Official - Phone:952-829-9024
Mailing Address - Street 1:9031 PRESERVE BLVD
Mailing Address - Street 2:
Mailing Address - City:EDEN PRAIRIE
Mailing Address - State:MN
Mailing Address - Zip Code:55347-2012
Mailing Address - Country:US
Mailing Address - Phone:952-829-9024
Mailing Address - Fax:
Practice Address - Street 1:12195 SINGLETREE LN
Practice Address - Street 2:
Practice Address - City:EDEN PRAIRIE
Practice Address - State:MN
Practice Address - Zip Code:55344-7921
Practice Address - Country:US
Practice Address - Phone:952-829-9024
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-01-17
Last Update Date:2013-01-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MN2338152W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes152W00000XEye and Vision Services ProvidersOptometristGroup - Single Specialty