Provider Demographics
NPI:1427004969
Name:TWIN CITIES EYE SPECIALISTS, LLC
Entity Type:Organization
Organization Name:TWIN CITIES EYE SPECIALISTS, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:DAVID
Authorized Official - Middle Name:J
Authorized Official - Last Name:EILERS
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:612-644-2020
Mailing Address - Street 1:2221 FORD PKWY
Mailing Address - Street 2:#210
Mailing Address - City:SAINT PAUL
Mailing Address - State:MN
Mailing Address - Zip Code:55116-1800
Mailing Address - Country:US
Mailing Address - Phone:651-690-2020
Mailing Address - Fax:
Practice Address - Street 1:2221 FORD PKWY
Practice Address - Street 2:#210
Practice Address - City:SAINT PAUL
Practice Address - State:MN
Practice Address - Zip Code:55116-1800
Practice Address - Country:US
Practice Address - Phone:651-690-2020
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-05-26
Last Update Date:2014-09-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MN43911207W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207W00000XAllopathic & Osteopathic PhysiciansOphthalmologyGroup - Single Specialty