Provider Demographics
NPI:1790370906
Name:TCEC LASIK CENTER
Entity Type:Organization
Organization Name:TCEC LASIK CENTER
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:
Authorized Official - First Name:PATRICK
Authorized Official - Middle Name:
Authorized Official - Last Name:BELLAND
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:763-592-8465
Mailing Address - Street 1:3601 W 76TH ST STE 150
Mailing Address - Street 2:
Mailing Address - City:EDINA
Mailing Address - State:MN
Mailing Address - Zip Code:55435-3006
Mailing Address - Country:US
Mailing Address - Phone:952-888-7937
Mailing Address - Fax:
Practice Address - Street 1:3601 W 76TH ST STE 150
Practice Address - Street 2:
Practice Address - City:EDINA
Practice Address - State:MN
Practice Address - Zip Code:55435-3006
Practice Address - Country:US
Practice Address - Phone:952-888-7937
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-03-09
Last Update Date:2021-03-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207W00000XAllopathic & Osteopathic PhysiciansOphthalmologyGroup - Single Specialty