Provider Demographics
NPI:1770770737
Name:VISUAL STRATEGIES OF WOODBURY LLC
Entity type:Organization
Organization Name:VISUAL STRATEGIES OF WOODBURY LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MS
Authorized Official - First Name:KARRIE
Authorized Official - Middle Name:LYNNE
Authorized Official - Last Name:RUEDY
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:651-492-8979
Mailing Address - Street 1:1937 WOODLANE DR
Mailing Address - Street 2:SUITE 209
Mailing Address - City:WOODBURY
Mailing Address - State:MN
Mailing Address - Zip Code:55125-3926
Mailing Address - Country:US
Mailing Address - Phone:651-492-8979
Mailing Address - Fax:651-340-7436
Practice Address - Street 1:1937 WOODLANE DR
Practice Address - Street 2:SUITE 209
Practice Address - City:WOODBURY
Practice Address - State:MN
Practice Address - Zip Code:55125-3926
Practice Address - Country:US
Practice Address - Phone:651-492-8979
Practice Address - Fax:651-340-7436
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:VISUAL STRATEGIES LLC
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2007-10-03
Last Update Date:2007-10-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes152WV0400XEye and Vision Services ProvidersOptometristVision TherapyGroup - Single Specialty